60yrs female pt complaints with nausea since 20 days and diarrhea since 1 yr

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abdominal pain with incontinence of loss of bladder control

Chief complaints: Patient complaints of abdominal pain(epigastric region ) since 1 yr  C/o Incontinence of loss of bladder control since 7 days C/oBurning of urine since 2 days Pain relieved by taking medication but medicine was not continuously used C/o numbness in legs since 7 days C/o weakness and body pains since one month History of presenting illness: H/o trauma to right hand 6 months back  No c/o cough and weight loss  No c/o pedal edema  Past history: She had a surgery done in right hand  C/o heavy breaths and weakness before 6 months  Where she got admitted  Negative history: C/o HTN (low BP) No h/o diabetes No h/o cad No h/o tb  No h/o asthma Systemic examination: No tenderness No palpable mass Hernial orifices : normal Liver : not palpable Spleen: not palpable Personal history: Married Occupation: labour work Appetite: decreased Mixed diet Bowel: regular Micturition: normal ( loss of bladder control with burning sensation) No known alle...
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metabolic syndrome with diabetes and hypothyroidism

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Chief complaints: Patient presented with a chief complaints of backpain with burning micturition and less urine output C/o diabetes since 15 years  C/o hypertension C/o hypothyroidism History of presenting illness: Patient was apparently asymptomatic 20days back then she developed back pain (dragging and pricking type of pain ) with less urine output , difficulty in voiding out urine  H/o burning micturition H/o cough since 20 days H/o Fever since 3 days ( on and off onset ) , intermittent fever  Not associated with chills and rigor H /o acidity  H/o headache  H/o blurring of vision ( cataract) H/o pedal edema (pitting type) H/o abdominal distension  Negative history: No h/o palpitations No h/o chest pain No h/o asthma  No h/o cad Past history: Diabetes since 15 years ( insulin 20 units) in the morning and also takes tablets for diabetes C/o hypertension C/o hypothyroidism since 5 yrs Generalized swelling since 10 to 15 yrs General examination: Pallor:...
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rheumatoid arthritis with ckd ?

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Male patient of 70 yrs admitted in general medicine department  Occupation: labour work  Chief complaints: C/o fever since 10 days (high grade )relieved with medications  Associated with chills and rigors mainly at night  Swelling and pain in the hands,metacarpophalangeal joints ,knee joint )  He couldn't move and walk properly History of present illness: Patient was apparently asymptomatic 10 yrs back then he developed history of pain in joints H/o trauma onto his middle toe 1 month back  No h/o cough   h/o weight loss  Decreased urine output C/o Lower limb swelling since 1 yr  Pedal edema with pitting type ( most prominent) Negative history: No history of asthma,TB,diabetes mellitus , epilepsy,CAD,thyroid disorders History of past illness: H/ o chronic use of nsaids abuse since 1 yr for joint pains  Treatment history: Not significant Personal history: Married Occupation: labour work Appetite : lost  Mixed diet  Micturiti...
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