General Medicine Blog

A 60 yr old female laborer came to general medicine OPD with chief complaint of pain in lower back since 3yrs. Patient came to hospital on 21/12/22 and was admitted on 22/12/22 History of Presenting Illness Patient was apparently asymptomatic 3 yrs ago she then developed severe lower back pain that was continuous. It was dragging type of pain. There was no aggravating or decreasing factors. Due to the pain the patient would take self prescription of dolo (paracetamol 650mg ) , twice a day. This happened for the past 3 years. H/O bilateral pedal edema Patient complained of burning micturition since the past 15days  Follow up-  5/1/23 Patient complains of no sleep. Past History No similar complaints in the past NO history of surgeries No history of blood transfusion Not a known case of Hypertension, Diabetes mellitus, bronchial asthma TB, epilepsy. Personal History  Mixed diet Decreased appetitie Burning Micturition Normal Bowel movements Inadequate sleep No addictions Family History Mot

A 40 yr old female was brought to the General medicine OPD by her husband with chief complaints of abnormal behavior since one week. patient was admitted on 27/12/22 History of Presenting Illness Patient was asymptomatic 2 weeks ago she then suddenly starting exhibiting abnormal behavior. She was shouting and was saying that she heard voices talking bad about her. 1 Male and and 2 female voices were heard. She also said that her husband was talking bad about her character. She was saying that her husband was spreading information that she didn’t tell him. These small episodes occurred randomly throughout the day and had no pattern or any triggering factors. Patient was not able to do her normal work during such episodes. She was not aware of her abnormal behaviour.                                                  Follow Up 3/1/23 - Patient did not have any psychotic episodes. She ate well and also had  no sleep disturbances. Patient complaint of dizziness. Past history  No similar comp