2nd internal assessment

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Diminution of vision

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 Date of admission - 11/09/2023 Chief complaints :  A male patient of age 77 years old resident of vangamuthy presented to the opd with chief complaints of  1) diminution of vision in both eyes since 2 years  History of presenting illness :   Patient was apparently asymptomatic 2 months ago and he developed diminution of vision which was insidious in onset and gradually progressive in nature .  It was not associated with watering , photophobia , redness or itching .  History of past illness : There was a history of surgery related to CHD 1 year ago  There was a history of auditory and visual hallucinations since 1 year and was diagnosed 1 month ago . K/C/O of DM 2 since months  Not K/C/O of asthma , epilepsy , Tb  Treatment history :   1)  Metformin 500 mg  2) risperidone 2 mg  Personal history :  Sleep : inadequate  Appetite : loss of appetite  Bladder and bowel : regular  Drug allergies : no...
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Chapped lips

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 Date of admission -  Chief complaints :  A 15 year old male patient resident of poddichedu presented to the opd with chief complaints of  1) chapping of corner of lips since 3 months  2) inflammation of lower lip since 3 months History of present illness :  Patient was apparently asymptomatic 3 months ago and then he developed chapping of the corner of the lips which was insidious in onset and he is intolerable to spicy food and is aggravated by cold weather .  History of past illness :  Not a K/C/O of DM , HTN , epilepsy , asthma .  Treatment history :  Personal history :  Diet - mixed  Appetite - reduced  Sleep - normal  Bowel and bladder - regular  Patient wakes up around 7 am in the morning and has a good amount of breakfast fil Family history:  Not significant  O/E: PT IS C C C BP: 100/70 MMHg  PR :84 BPM RR: 18 CPM SPO2: 98% AT ROOM TEMP NO SIGNS OF PALLOR ICTERUS CLUBBING CYANOSIS LYMPHADEN...
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GASTEROENTRITIS

 A 51 year old female who is a labourer by occupation  presented to the opd with chief c/o of loose stools , bloating , stomach pain and dry mouth since 10 days .  CHIEF C/O :  1) loose stools  2 ) vomitings  3).stomach pain since 10 days  H/O PAST ILLNESS :  1) N/k/C/o of HTN, DM , TB , CAD , epilepsy  H/O of PRESENT ILLNESS :    No complaints of burning micturition   No complaints of blood in stools    No complaints of fever  TREATMENT HISTORY :      Saline was infused       Tablets for motions and stomach pain were given  PERSONAL HISTORY :      Loss of appetite       Alc consumption- no        Smoking - no         Toddy - drank toddy in summer for 20 days   FAMILY HISTORY :        Nothing significant    PHYSICAL EXAMINATION :  > GENERAL EXAMINA...
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