General medicine

C/o swelling of right lower limb since 5 days. HOPI Patient was appalently asymptomatic 5-6 days back, then he developed a small swelling over right lower limb near ankle  joint which he scratched and later swelling gradually increased.Associated with pain.On checking GRBS at presentation blood sugar levels found to be 542 mg/dl. No H/o fever,Nausea ,vomiting,Burning micturation. Past history: Known case of DM type 2 since 9 years on GLIMI M2 N/K/C/O HTN,CVA,CAD,TB,Epilept,Thyroid disorder. Personal history: Patient is tailor by occupation since his age 18.He wakes up at 6 :00 AM ,he freshesup for work,starts his work by 8 AM.He has his Breakfast by 9 AM,and starts work again .He has his Lunch at 1 PM and continue his Work untill 6 PM Dinner at 8 PM .He goes to sleep at 10 PM. Diet - mixed  Appetite - Normal  Sleep-adequate  Bowel -Hard stools  Bladder - No burning micturation. Family History:No significant  Fever chart : General examination: Patient is conscious coherent and co operat

I am presemting a case of 60 year old female, house wife resident of addaguduru, came to opd with Chief complaints: High grade fever since  6 days, not associated with chills and rigor, complaints of weekness since 2 days.  History of present illness: Patient was apparently asymptomatic 5 days back and then she developed fever  high grade , continuous not associated with chills and rigor  C/o generalized weakness since one day, urinary incontinence,  So they went to local hospital and got to know that she is having thypoid and increased sugar levels in the body , so they have brought her to kamineni No c/o nausea , vomitings , no abdominal pain,  No loose stools no cough cold Past history:  known case of dm type 2 since 10 years  Previously using glimeperide 2 mg,metformin 500 mg Since thursday glimiperide 1 mg , metformin 500 mg Not a known case of HTN, CVA,CAD, epilepsy, bleeding diaorder.  Patient has h/o diabetic retinopathy since 5 years.  PERSONAL HISTORY:   Diet - Mixed  Appetit

A patient aged 77 year old came to opd with  Cheif complaints:  swelling on left leg since 15 days, low grade fever since 15 days History of present illness  :  patient was apparently asymptomatic 15 days ago, then he developed swelling in his left leg           -which is insidious in onset,           - gradually progressive           -no relieving or aggravating factors Low grade fever since 15 days          - not associated with chills and rigors          -no cough and cold          - relieved on medication No shortness of breath No palpitations, chest pain History of trauma is present Past history :           Known case of hypertension since 8 years Not a known case of diabetes mellitus , epilepsy, thyroid Had cellulitis,necrotizing infection 6 years ago on left leg Had a accident with car 9 years ago,had a tibia implant 9 years ago, it was removed 5 years ago Personal history :            -mixed diet            -regular bowel and bladder movements            - adequate sleep