THEJASWI JELLA ROLL NO 59

 Patient came to the opd with chief complaints of left sided chest pain and sob since 1 year HOPI: Patient was apparently asymptomatic 1 year back then she developed left sided chest pain which is non radiating. C/o sob grade II since 1 year .Which was insidious in onset and gradually progressive. Increases on lifting heavy weights( >/= 5 kg) and on supine position and  Associated with palpitations. No H/o orthopnea, PND, weight gain No C/O fever, vomitings , loose stools, burning micturition, cough. Daily routine: Patient used to wake up at 5 AM and drinks tea at 7 AM And have breakfast at 8 AM (rice) After having breakfast, she goes  to work at the construction site as a daily labour and eats her lunch at 1 PM (rice) Then after eating rice, she gets back to her work  She leaves the construction site at 5 PM. And goes back to home and have tea at 5:30 PM. And have her dinner at 8 PM  And goes back to sleep at 9 PM  Patient started to feel shortness of breath one year back. Then dec

 Chief complaints:   Patient came with cheif complaints of burning type of sensation of whole body since 1 week. Fever since 1 day HOPI:  Patient was apparently asymptomatic 2 months back after which he had an RTA during which he had cervical cord stenosis and was operated with cervical cord laminectomy i/v/o weakness of both upper and lower limbs. After which patient was on physiotherapy and power improved gradually.Now patient had h/o burning sensation and numbness of whole body( paresthesia). He also have complaints of fever since today afternoon associated with chills , relieved on medication. H/o of  burning micturition since 4-5 days  No H/o decreased sensations No h/o bowel and bladder incontinence. No h/o seizure activity No H/O cold, cough, sore throat No H/o nausea , vomiting, pain abdomen No H/o loose stools PAST HISTORY: Not a k/c/o dmII, htn, thyroid disorders,asthma,epilepsy GENERAL EXAMINATION: Patient is conscious, coherent No pallor, icterus, cyanosis, clubbing, lympha