Mahitha Sharma

 Date of admission : 04 may 2022 A 34 year old male came to casualty with chief complaints of chest pain, shortness of breath since 4 days  HISTORY OF PRESENT  ILLNESS Daily routine of the patient : The patient used to get up at around 7/8 in the morning, used to have breakfast  (Rice) and then used to go to drive auto. He then returns home in the evening and then used to consume alcohol daily before eating which was around 180ml and then sleep at around midnight at around 1/2. He used to binge watch TV until that time.  His intake of alcohol has increased to 750 ml per day (which is due to family issues according to the patient) and stopped consuming food at night. The patient  do not have habit of smoking  4 years back he started noticing swelling in his hind limbs and he couldn't walk properly and experienced tingling sensation in fingers and went to hospital where doctors did a lumbar puncture and collected CSF and said there is accumulation of flu...

A 50 year old male , a daily wage labourer by occupation, resident of Nakrekal came to casualty with the c/c of pedal edema since & sob since 2 days. Patient was previously diagnosed with CKD ,a year ago and kept on MHD . He developed bilateral grade 2 pedal edema pitting type which was insidious in onset and gradually progressing along with facial puffiness in the same time period. He also complained of SOB which was insidious in onset and gradually progressing, aggravated on doing his regular work(Granite cutting) with  relieving factors  after taking medication.  He was a occasional  alcoholic and for 30 years and stopped consuming alcohol 1 year back. No h/o blood vomiting, fever and burning micturation.  No h/o  TB, Asthma  But Diabetes +, HTN +  No significant past and family history.  He was taken to a hospital in Hyderabad where he was diagnosed with chronic kidney  disease and underwent his 1 st dialysis treatment and sugges...