Dr.Keerthi Madireddy

A 49yr old male patient resident of Yadadri presented to the pulmonology  OPD with chief complaints of   cough  since 10 days, cold since 10days, generalised weakness since 2months,  decreased appetite since 20days.   HISTORY OF PRESENTING ILLNESS: Patient was apparently asymptomatic 25days back after which he developed cough with sputum which is  insidious in onset mucoid in nature , non foul smelling not bloodtinged went to local hospital but not subsided with treatment and came to us with progressing in nature,mucoprulent,foul smelling and non blood stained,cough is more atnight. C/OHalitosis & Chest tightness-Present C/O Loss of appetite C/O Loss of weight-+,(59kgs-40kgs)in span of 6months NO c/o fever,chestpain,shortness of breath,sweating,palpitations,↓urine output HISTORY OF PAST ILLNESS: No H/O of smilar complaints in the past. Not a K/C/O DM,HTN,Thyroid,Epilepsy. No H/O inhaler usage in the past. No H/O TB in the past. FAMILY HISTORY: No s...

3  0 year old male came to casualty with c/o involuntary movements of hands and tingling and numbness in upper limbs and abdomen since yesterday morning  Patient was apparently asymptomatic 20 days back then he developed fever insidious in onset, gradually progressive, low grade , intermittent not associated with chills and rigors and relieved by medication He has a history of 4-5 episodes of vomitings 5 days back. Watery, non bilious ,non projectile, with food particles as contents. Relieved by medication (unknown) No c/o pain abdomen, loose stools   c/o burning micturition 2 days back, relieved now H/o similar complaints in the past(7 years back) (hypokalemiac periodic paresis) No h/o DM,HTN, asthma, epilepsy,cad, thyroid disorders  He used to take alcohol occasionally for the past 10 years and stopped taking 1 month back He takes betel leaf(pan) once in 2 days for the past 10 years  O/E  Patient is conscious, coherent and cooperative well oriented t...