Sheela sai venkat general medicine blog

A 55 yr F came to OPD with C/C: fever since 10 days HOPI: the patient was apparently asymptomatic 10 days ago then she developed fever which was incidious in onset and gradually progressive, there are no aggrevating factors, relieved on taking medication  Past history: H/o taking medication - dolo 650( thrice a day) - taxim( twice a day) N/k/c/o DM, hypertension, asthama, TB, thyroid, epilepsy, CAD and CVA Family history: insignificant Personal history:  Sleep- adequate Appetite -reduced Diet- mixed Bowel and bladder - normal and regular Addictions- No addictions General examination:  C/c/c Moderately built and nourished No signs of pallor,iceterus, cyanosis, clubbing, lymphadenopathy and pedal edema no pallor  no icterus  lateral view of abdomen in comparison with bicep  Vitals:  PR - 80 cpm regular in rhythm and normal in volume Bp- 110/70 Rr- 14 bpm Temperature - febrile Systemic examination: Cvs- s1 S2 heard no murmurs Rs- normal bronchial and ve

A 42 year old female, labourer by occupation came to the OPD with the  C/o:-  headache since 5 yrs          - neck pain since 5 yrs Hopi:  The patient was apparently asymptomatic 5 yrs ago then she developed headache and neckpain which was incidious in onset and gradually progressive The headache and neckpain aggrevated on working and on prolonged sunlight exposure Headache and neckpain were relieved on using medication H/o of vomitings, giddiness, blurring of vision and tinnitus followed by headache Past history:  N/k/c/o Diabetes mellitus, hypertension, tb, asthma, thyroid, epilepsy, CAD, CVA H/o using spectacles for headache and neckpain Family history: insignificant Personal history:  Sleep- adequate Appetite - normal Diet-mixed Bowel and bladder - normal and regular Addictions- teetotaler General examination:  C/c/c Moderately built and nourished No signs of pallor, iceterus, cyanosis, clubbing, lymphadenopathy and pedal edema Vitals: bp-100/70 mmHg  Pr-64