Dr.Keerthi Madireddy

CHIEF COMPLAINTS   60YEARS OLD MALE DRIVER BY OCCUPATION CAME WITH COMPLAINTS OF LOW BACKPAIN SINCE 3 MONTHS RADIATING TO RIGHT LOWER LIMB HISTORY OF PRESENT ILLNESS PATIENT WAS APPARENTLY ASYMPTOMATIC 3 MONTHS BACK AND THEN DEVELOPED LOW BACK PAIN WHICH IS INSIDIOUS IN ONSET, PROGRESSIVE AGGRAVATING ON WALKING, SQUATTING AND ON STANDING AND NOT RELEIVED ON USING MEDICATION.PAIN IS RADIATING TO RIGHT LOWER LIMB AND ASSOCIATED WITH TINGLING OF RIGHT THIGH REGION. PERSONAL HISTORY BOWEL AND BLADDER MOVEMENTS ARE REGULAR APPETITE NORMAL EX ALCOHOLIC EX SMOKER STOPPED 3 YEARS AGO PAST HISTORY: HISTORY OF SURGERY FOR RENAL CALCULI ONE AND ONE N HALF MONTH BACK  HISTORY OF CVA USED ALTEPLANE STATUSING MEDICATION TAB. ATORVASTATIN, TAB ASPIRIN, TAB ESMOPRAZOLE, TAB RIFAMPICIN SINCE ONE AND HALF MONTH  KNOWN CASE OF TYPE II DM SINCE 2 YEARS USING TAB.METFORMIN 500MG PO BD  K/C/O HYPERTENSION SINCE 2 YEARS USING TELMA 40MG, TAB HYDROCHLORTHIAZIDE  GENERAL EXAMINATION BP:120/8

  63 YEAR OLD MALE CAME TO PULMONOLOGY OPD WITH    C/O COUGH SINCE 15 DAYS BACK PAIN SINCE 3 MONTHS 2 EPISODES OF BLOOD VOMITINGS 15 DAYS BACK  HISTORY OF PRESENT ILLNESS PATIENT WAS APPARENTLY ASYMPTOMATIC 15 DAYS BACK THEN HE HAD 1 EPISODE OF HEMATEMESIS FOR WHICH PT WAS ADMITTED IN A LOCAL HOSPITAL AND WAS CONSERVATIVELY MANAGED AND THEN HAD A SIMILAR COMPLAINT 5 DAYS LATER AND WAS CONSERVATIVELY MANAGED PATIENT DEVELOPED COUGH 15 DAYS AGO SUDDEN IN ONSET PREDOMINANTLY NON PRODUCTIVE OCCASIONALLY PRODUCTIVE WHITISH MUCOID SPUTUM, NON FOUL SMELLING OCCASIONALLY BLOOD STAINED ( LAST 4 DAYS AGO)  MUCOID SPUTUM ,NON FOUL SMELLING OCCASIONALLY BLOOD STAINED ( LAST 4 DAYS AGO) . C/O FEVER LOW GRADE NOT AW CHILLS AND RIGORS AGGREVATED AT NIGHT NO C/O SOB, CHEST PAIN, CHEST TIGHTNESS, SWEATING, PALPITATIONS, LOSS OF APPETITE, LOSS OF WEIGHT PATIENT ALSO HAD THE C/O BACK PAIN SINCE 3 YRS AGGREVATED SINCE 3 MONTHS C/O HOARSENESS OF VOICE SINCE 1 WEEK H/O SIMILAR COMPLAINTS HEMAT