Shruthi Arukonda 02

  Date of admission :  A 55 year old male resident of Nalgonda presented to the causality with lower back ache and radiating pain to the left leg  since 3 weeks  HISTORY OF PRESENT ILLNESS : Patient was apparently asymptomatic until 3 weeks ago after which he developed lower back ache which is sudden in onset, non progressive, aggravates on movement, relives on rest.  History of trauma (slip and fall from stairs) 3 weeks ago  The patient was taken to the local hospital where he was found to have L5 burst fracture on CT pelvis.  No history of lifting heavy weights, fever, burning micturition,  PAST HISTORY :  k/c/o DM T2 since last 30 years  K/c/o CAD since 2 years  N/k/c/o of HTN, epilepsy, TB, asthma.  History of  PCTA 2 years ago   TREATMENT HISTORY:  Tab. Metformin 500mg  Tab . Roglibose 0.2mg  Tab. glimidipine 2mg  PERSONAL HISTORY :  sleep : adequate  Bowel and bladder : regular  Appetite : normal  Addictions: alcohol occasionally  Allergies : none  GENERAL EXAMINATION:   Bilatera

Date of admission : 2/9/23  A 65 year old male resident of Mallepally ,farmer by occupation presented to the causality with loss of consciousness (For a period of 15min) associated with sweating. HISTORY OF PRESENT ILLNESS:  Patient was apparently normal until 15 days back. Then he had a thorn prick injury to the right foot for which he has taken treatment from a local RMP.  The local RMP performed incision and drainage after which the swelling increased over right lower limb foot with boils over the ankle   He then visited another hospital where he was told to have increased creatinine level (0.7mg/dl)  He then was referred to a higher centre  The patient was then taken to the hospital and haemodialysis was done and planned for a debridement   Debridement was done and was discharged   After which he has experienced a sudden loss of consciousness associated with sweating and was brought here.  No h/o fever, sob, palpitations, chest pain.  PAST HISTORY:  k/c/o diabetes Mellitus type 2