THEJASWI JELLA ROLL NO 59

A 42 yr old male patient from Huzurnagar autodriver by occupation came with chief complaints of  swelling at Gluteal region since 25 days and fever since 26 days. HOPI: Patient was apparently asymptomatic 8 years back then he had giddiness for which he consulted the local doctor and diagnosed as Hypertension. Since then he is on regular medication for Hypertension.  2 years back he developed fever and pedal edema.Then he went to local hospital.Then on investigations he came to know that his creatinine levels are increased to 4mg/dl. For which he took medication .Symptoms subsided. On 14/1/22 He had fever with chills On 15/1/22 He noticed that he had swelling over inferiomedial part of left Gluteal region and perineal region associated with pain. On 19/1/22 it was drained by local RMP.On investigations he came to know that his creatinine levels were raised.  Then on 21/1/22 He came to KIMS for treatment.On investigations his creatinine were raised. PAST HISTORY: K/C/O Hypertension since

QA 30 yr old Male patient came with chief complaints vomiting with clots and abdominal pain. HOPI: Patient was asymptomatic 2 years back.Then he developed abdominal pain in the epigastric region which is Stabbing type when he consumes more amount of alcohol and on eating spicy food. He also had 1 to 2 episodes of vomitings along with pain which were clear and yellowish.  He came to KIMS about 6 times since 2 yrs for the above complaints and has been treated for it and was advised to stop consuming alcohol. 3 months back: He had a mild blood clots in vomiting. On 31/1/22  : He again had blood clots in his vomiting about 7 to 8 episodes .And single episode of vomiting which was greenish in colour with severe epigastric pain which was stabbing type  and burning sensation in throat.  Then he came to KIMS on 31/1/22. * Symptoms aggravated on taking spicy food. No history of fever , burning micturition, diarrhoea, blood in stool, Body pains. PAST HISTORY No history of hypertension, Diabetes