General Medicine Blog

60yr old male shop owner from kammareddygudem came to GEN MED OPD with chief complaint of bloating of stomach since 6 days  Patient was admitted on 23/12/22 HOPI patient was apparently asymptomatic 1 week ago. He then developed bloating of the abdomen, it was associated with poking type of pain. the pain did not have any aggravating and decreasing factors. Pain was also observed when patient would sit up from a lying down position. Patient complained of polyuria and polydypsia since 6days. Negative History  No nausea No vomiting's No Headache No Anorexia No giddiness No burning micturition  No constipation  No diarrhoea  Past History  5 yrs ago patient was diagnosed with decompensated liver disease 3yrs ago endoscopy showed esophageal varices, as treatment elastic bands were placed to prevent further bleeding. Diabetic since 3yrs  4 months ago the patient went to warangal hospital with similar complaints , there he was diagnosed with ascites and an asictic tap was done, and the pat

55 year old male with Cerebrovascular accident  December 26, 2022  55 year old male a goat Heder from Gouraram came to the department on  23/ 12 / 2022  with chief complaints of weakness in left upper arm associated with sudden involuntary moments.  HOPI - Patient was asymptomatic 10 days back. On 17/ 12/ 22 he developed sudden involuntary moments on the left upper limb associated with weakness and loss of speech. The patient was taken to a hospital in nalgonda where he was admitted and the following tests were done-  -MRI brain -CBP -Echocardiogram  - Lipid profile  - CT cerebral angiogram  - ECG -LFT - CT neck angiogram  -Renal function test  The following medication was prescribed-  - Metformin hydrochloride sustained release tablets ip - 500mg - Atorvastatin tablets ip- 40mg - pantopazole gastroresistant - 40mg and domperidone prolonged release 30mg gelatin capsule. - clopidogrel - 75mg and aspirin - 150mg capsules  - Cefixime and Lactic acid bascillus dispersable tablets  - Telmis