Dr.Keerthi Madireddy

 C/O DECREASED URINE OUTPUT AND SOB SINCE 4 DAYS  C/O PEDAL EDEMA SINCE 1 DAY  HOPI:  PATIENT WAS APPARENTLY ALRIGHT 4 DAYS BACK THEN HE HAD DECREASED URINE OUTPUT NO HESITANCY, NO DRIBBLING OF URINE C/O SOB GRADE III, ORTHOPNEA +, NO PND C/O PEDAL EDEMA SINCE 1 DAY WHICVH WAS PITTING TYPE COUGH SINCE TODAY ASSOCIATED WITH SPUTU, MUCOID, NON FOUL SMELLING, GENERALISED BODY PAINS+ LOSS OF APPETITE+ 3 EPISODES OF VOMITING+ 3 DAYS BACK, FOOD AS CONTENT  PAST HISTORY NO HISTORY OF DM, HTN,ASTHMA,EPILEPSY,CAD,CVA  PERSONAL HISTORY: DIET:MIXED SLEEP:ADEQUATE BOWEL: PASSED 4 DAYS BACK BLADDER: URINE OUTPUT DECREASED  ADDICTIONS:ALCOHOL DAILY SINCE 50 YEARS, BEEDI 10 SINCE 50 YEARS APPETITE:NORMAL  GENERAL EXAMINATION: PATIENT IS CONSCIOUS,COHERENT,COOPERATIVE,WELL ORIENTED TO TIME,PLACE AND PERSON.  NO PALLOR,ICTERUS CYANOSIS,CLUBING,LYMPHADENOPATHY,EDEMA. VITALS: TEMPERATURE:101 F BP:100/60 MM HG PR:90 BPM RR:18 CPM  SYSTEMIC EXAMINATION: CVS:...

 PT C/O CHEST PAIN ON LEFT SIDE SINCE 2-3MONTHS WITH SOB SINCE 2-3 MONTHS WITH COUGH WITH EXPECTORATION  HOPI: PT WAS APPARENTLY ALRIGHT 2-3MONTHS AGO THEN HE DEVELOPED SOB(GRADE II)WITH COUGH WITH EXPECTORATION ,GREEN COLOURED WITH PALPITATIONS,COUGH INCREASES AFTER FOOD INTAKE AT NIGHT NIGHT TIME RISE OF TEMPERATURE PRESENT ASSOCIATED WITH SWAETING AND WEIGHT LOSS SINCE 3 MONTHS(15-20KGS) LOSS OF APPETITE,NAUSEA PRESENT NO C/O ABDOMINAL PAIN,VOMITINGS,DIARRHEA NO ORTHOPNEA,PND  PAST HISTORY: N/K/C/O DMII, HYPERTENSION,TB,EPILEPSY,CVA,CAD,ASTHAMA,THYROID DISORDERS.  GENERAL EXAMINATION: PATIENT IS CONSCIOUS,COHERENT,COOPERATIVE, WELL ORIENTED TO TIME,PLACE AND PERSON.  MODERATELY BUILT AND NOURISHED.  NO SIGNS OF PALLOR,ICTERUS, CYANOSIS, CLUBBING, LYMPHADENOPATHY, EDEMA  VITALS: TEMP: AFEBRILE BP: 120/80 MM HG RR: 76 BPM RR: 18 CPM  CVS: S1, S2 HEARD ,NO MURMURS RS: BAE +, NVBS CNS: NFND P/A: SOFT, NON TENDER, BOWEL SOUNDS HEARD  Investigat...

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  GENER...