Dr.Keerthi Madireddy

  Case History and Clinical Findings :   PATIENT CAME TO OPD WITH COMPLAINTS OF COUGH SINCE MONTHS, LOSS OF APPETITE SINCE 2 MONTHS , FEVER SINCE 1 AND HALF MONTHS  HISTORY OF PRESENT ILLNESS : PATIENT WAS APPARENTLY ASYMPTOMATIC 2 MONTHS AGO, THEN HE DEVELOPED COUGH WHICH IS PRODUCTIVE (THICK, WHITISH SPUTUM) NON BLOOD TINGED, NON MUCO-PURULENT , NO DIURNAL VARIATION CO FEVER WHICH IS HIGH GRADE, INTERMITTENT, RELIEVED WITH MEDICATION ASSOCIATED WTH CHILLS AND RIGOR WITH NO DIURNAL MARIATION. CO LOSS OF APPETITE SINCE 2 MONTHS. NO C/O BURNING MICTURITION, COLD, HEADACHE, BODY PAINS. NO C/O CHEST PAIN, PALPITATIONS, SOB. PAST HISTORY K/CO TYPE 2 DM SINCE 8YRS (ON TAB SITAGLIPTIN 500MG + METFORMIN 1000MG PO/OD)  NOT AK/C/O HTN, CAD, CVA. GENERAL EXAMINATION: THE PATIENT IS CONSIOUS, COHERENT, COOPERATIVE, WELL ORIENTED TO TIME, PLACE AND PERSON, MODERATELY BUILT AND NOURISHED. VITALS BP: 110/70 MMHG PR: 88 BPM RR: 18 CPM TEMP, 984 F CVS: S1, S2 HEARD, NO MURMURS 

  A 60 year old male who is a resident in telangana ,he does a cotton business. Came to the casualty in altered sensorium on 30/04/2023.  Patient was apparently asymptomatic 10 years back then he developed fever and went to a ayurvedic doctor and was found to be having retroviral postive. And started using herbal medicine for that and the symptoms he was experiencing back then was subsided. 1month back patient developed weakness in his left hand with tingling and numbness sensation  which is insidious in onset and gradually progressive in nature with no aggravating and releiving factors  for that he visited the same previous Ayurveda doctor and  started using some herbal medicine  prescribed by him and then, 3to 4 days later, he developed fever (on and off) and no chills and rigors, which is insidious in onset and gradually progressive in nature  along with the fever he also started experiencing leg (both the legs)pain and weakness as well as flank pain for which he went to the same Ay