K SRINIDHI ROLLNO 63

  This is a case of 65 year old female, housewife, staying alone since 5 years presented with cheif complaints of  Weakness of upper and lower limbs Difficulty in walking HOPI The patient is apparently asymptotic 20 years back  20 yrs ago The patient had hyperthyroidism. Kept on Neocarbimazole 5mg Po OD 10 yrs ago She had decreased APETITE for which she went to local hospital. She was diagnosed to be type 2 DM and was kept on OHA Since 1 week She complains of high grade fever associated with chills and rigors Since 2 days  Decreased food intake and missed OHAs Difficulty in walking  weakness of upper and lower limbs Passing stools and urine in her clothes  Past history  Diabetic since 10 years on Insulin  Hyperthyroidism since 20 years on neocarbimazole 5mg Po OD PERSONAL HISTORY  DIET mixed  APETITE  decreased  SLEEP adequate  BOWEL AND BLADDER MOVEMENTS involuntary  ADDICTIONS none FAMILY HISTORY  Not significant  GENERAL EXAMINATION  The patient is coherent conscious cooperative wel

A 72 year old male patient presented with the chief complaints of : S.O.B since 15 days  decreased urine output since 10 days pedal oedma since 10 days  History of presenting illness: Pt was apparently asymptomatic 14 years back then in 2008,he developed slurred speech and an abnormal gait for which he was taken to a neuro surgeon where he was managed conservatively for a week and was an medication for 4 years . ( medication unknown, indication unknown)( possibly stroke).at the same time he was known to have HTN and is on medication since then. Then after 4 years ,in 2012 ,he was having severe SOB and was taken to a hospital where he was diagnosed with COPD and the medication dose was decreased and his symptoms subsided. In 2018 , then he had a trauma to the leg which was not healing and was taken to thehospital where rountine check up was done to find to have Type 2 DM . Then in 2021 he developed bilateral pedal edema and on investigations it was found that CREATININE was high and dia