Vamsidharrollno165

Case report  70 yr old male farmer hailing from rural telangana has presented to the OPD with c/o decrrsed urine output since 15 days  HOPI Patient was apparently asymptomatic 15 days ago then he noticed that his urine output has been decreasing. It is associated with burining micturition. No H/o Pyuria, dysuria,pain abdomen, loin pain.  Reddish discoulouration of Urine present  Past History  The patient gives History of Haemodialysis About 10 yrs ago after He had fever with abdominal distension K/c/o HTN Since 10 yrs initially on T. LOSAR H AND PRESENTLY ON T.TELMA H PO OD  Not a K/c/o DM , Asthma, TB, Epilepsy, CAD , Thyroid disorders  Personal History  Appetite :- Normal Diet ,:Mixed Bowel : regular  Sleep :- Adequate  Addictions :-   Regular Alcoholic stopped 12 yrs ago  Regualar smoker - Used to smoke 2-3 beedis per day  Stopped 12 yrs ago  General Examination Patient is C/c/C  No pallor, icterus, cyanosis, Lymphadenopathy, Pedal edema  Temp :- 98.5F Bp :- 170/110mmHg  PR:- 92 bpm

  1801006185 long case : 45 year old male patient with heart failure .  A 45 old male patient auto driver by occupation came to the OPD with cheif complaints of swelling in the both legs & shortness of breath since 5 days. History of present illness: Patient was apparently asymptomatic 5 days back then he developed increased swelling in both lower limbs which is pitting type of edema .insidious in onset gradual in progression. Swelling is up to the ankles . It is not seen above the ankles .  patient also complains of shortness of breath which is insidious onset gradually progressive . It progressed from grade 2 to grade-4.Patient also complains of breathlessness in lying down position. Aggravated on activity and relived on rest .  History of paroxysmal nocturnal Dyspnea is present 3 hours after patient sleeps and it is relieved when patient arises. Patient also complains of fatigue on activity.  No complaints of facial puffiness .  No H/o chest pain , palpitations, syncope attack .