Potlapallirashmitha

56 year old female kTobacco leaf seller by occupation came to opd in january 2021 with chief complaints of  chest pain since 6 months , pricking type, subsiding on its own, no radiation  Shortness of breath grade 2(MMRC) since 1 month progressed to grade 4 since 1 day H/o orthopnoea and Paroxysmal dyspnoea and palpitations present  No history of cough , wheeze  Decreased appetite since 20 days,  generalised weakness since 15 days ,   Pain abdomen since 10 days. Diffuse predominantly in the epigastric region, non radiating B/L Lower limb ,upper limb edema and facial puffiness since 5 days.  Edema initially started in the lower limbs then prgressed to upper limbs and then face  Palpitations + Syncopal attacks - She is not a K/C/O DM - II , HTN , Thyroid abnormalities and any other comorbidites She is an occasional alcoholic ( beer / whiskey) since 35 years. Chews tobacco leaves daily since 6 months. O/E: Patient is C/C Pallor + No icterus, club...

  Here's a case that I have seen -  A 55 year old male, shepherd by occupation, presented to the OPD with the chief complaints of fever (on and off), loss of appetite, headache, body pains, generalized weakness since 2 months, cough since 2 weeks and vomitings and pain abdomen since 2 days.  The patient was apparently assymptommatic 2 months back  Then he developed fever which was insidious in onset, low grade fever, intermittent type. It is associated with chills and rigors There are no aggravating factors and the fever was relieved on taking medication  (For which he visited the RMP) It is associated with generalized weakness, headache (diffuse), neck pain, loss of appetite and weight loss.  It is associated with cough since 2 weeks It is productive in nature. The sputum is mild in quantity, white in colour, non-purulent, non-blood stained, non-foul smelling.  H/O shortness of breath on exertion  H/O vomitings since 2 days  1 episode/day co...