Diagnosis DIMORPHIC ANAEMIA(BICYTOPENIA) WITH CKD(STAGE 4) WITH 4 SESSIONS OF HEMODIALYSIS DONE(2019) Case History and Clinical Findings COMPLAINTS: 80 YEAR MALE WITH C/O TINGLING AND NUMBNESS OF BOTH UL AND LL SINCE 1 WEEK. HOPI: PATIENT WAS APPARENTLY ASYMPTOMATIC TILL LAST WEEK,THEN DEVELOPED HAEMATURIA SINCE LAST FRIDAY, IN EACH EPISODE OF URINE OUTPUT, WHICH LASTED FOR 4 DAYS.NO AGGREVATING FACTORS, NO RELIEVING FACTORS. H/O DECREASED URINE OUTPUT SINCE 1 MONTH, BUT INCREASED FREQUENCY. NO H/O BURNING MICTURITION, HESITANCY OR URGENCY NO H/O BLEEDING MANIFESTATIONS,PETECHIAE,RASH,NO HEMATURIA,NO BLOOD IN STOOL(MELENA),NO BLLEDING GUMS. NO H/O FEVER, COUGH, COLD, PAIN ABDOMEN NO H/O CHEST PAIN, PALPITATIONS, ORTHOPNEA AND PND TINGLING AND NUMBNESS OF UL AND LL SINCE 1 WEEK. NO POLYPHAGIA,POLYDYPSIA,NOCTURIA POLYURIA PRESENT UROLOGY REFERRAL TAKEN IN VIEW OF HEMATURIA ?URINARY BLADDER CARCINOMA DIAGNOSIS:BPH WITH GRADE 2 RPD CHANGES ADVICE:T.TAMSULOSIN 0.4 MGX2 WEEKS T.PANTOP 4...
Diagnosis IRON DEFICIENCY ANEMIA TO BLOOD LOSS (ANAL FISSURE) Case History and Clinical Findings C/O HEADCHE SINCE 1 WEEK C/O VOMITINGS 2 DAYS BACK C/O HEAVINESS OF CHEST SINCE 2 DAYS PT WAS APPARENTLY ASYMPTOMATIC 1MONTH BACK THEN SHE HAD 2 EPISODES OF VOMITING TREATED SYMPTOMATICALLY A/W HEADACHE NON PROJECTILE NON BILIOUS FOOD PARTICLES CONTENT MENSTRUAL HISTORY - 3 DAYS/30DAYS CLOTS - , PAIN - H/O IRREGULAR MENSTRUATION CYCLES MENARCHE AT 17Y NO H/O CHEST PAIN, SHORTNESS OF BREATH ,PAIN ABDOMEN ,LOOSE STOOLS, NAUSEA+ ,VOMITING -, FEVER -, WORM INFESTATION - ,PICA- H/O BLEEDING PER RECTUM 1 EPISODE - TODAY [FEW RED DROPS IN STOOL] -HEMOPTYSIS -, HEMETEMESIS - ,BLEEDING GUMS HEADACHE - UNILATERAL THROBBING TYPE NON RADIATING - NO NAUSEA , VOMITING , - PHOTOPHOBIA HEAVINESS OF CHEST - NOT A/W FOOD INTAKE NOT A/W EXERTION NUTRITIONAL HISTORY; MORNING - TIFFIN[IDLY , DOSA , BONDA , POORI ] AFTERNOON - SAMBAR /CURRY/CURD+RICE NO SNACKS NIGHT - CURRY/PICKLE/CURD - RICE NO SIMILAR COM...
Diagnosis FIBROMYALGIA OF RIGHT SHOULDER TRAPEZIUS TENDERNESS ACID PEPTIC DISEASE IRON DEFICIENCY ANEMIA SECONDARY TO NUTRITIONAL DEFICIENCY MELESMA +PITYRIASIS VERSICOLOR DENEVO DIABETES MELLITUS DENEVO HYPERTENSION Case History and Clinical Findings C/O RIGHT SHOULDER PAIN SINCE 6MONTHS LOWER BACKACHE SINCE 6 MONTHS CHEST PAIN SINCE 1 WEEK HOPI: PATIENT WAS APPARENTLY ASYMPTOMATIC AND ALRIGHT 6 MONTHS BACK AND THEN SHE DEVELOPED SHOULDER PAIN @ RIGHT SIDED OF SUPRASCAPULAR AREA,PAIN+,INSIDIOUS ONSET GRADUALLY PROGRESSIVE,TENDERNESS - ,NO RESTRICTION OF MOVEMENTS,AGGREVATING ON DOING HEAVY WORK AND NO RELIEVING FACTORS A/W LOWER BACK ACHE SINCE 6 MONTHS,PAIN+ ,TENDERNESS- ,AGGREVATING ON BENDING AND WORKING AND RELIEVED BY TAKING REST CHEST PAIN SINCE 1 WEEK AT RETROSTERNAL REGION, EPIGASTRIC REGIONAL PAIN +,BURNING SENSATION +,REGURGITATION -,BELCHINGS -,AGGREVATING ON EATING SPICY FOOD AND NO RELIEVING FACTORS N/H/O FEVER,COLD,COUGH,ALLERGIES N/H/O ABDOMINAL PAIN,NAUSEA,VOMITIN...
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