KARTHIK VARMA ROLL NO 199

A 30 year old female completed her degree final year came with complaints of fever since 2 month’s and cough with sputum since 15 days. HOPI: Patient was apparently asymptomatic 2 months back and then she developed fever which was insidious in onset,,high grade and not associated with chills and rigors and relieved on taking medication and again after one week she again developed fever which is of high grade and 15days back patient developed cough associated with sputum.And her sputum is scanty in amount, white in colour,no blood in sputum and non foul smelling sputum.And patient developed shortness of breath which is present only at nights not disturbing her sleep and she had known about it after her attenders noticed it.SOB at nights only since15 days which is on and off and 15days. No loss of Apetite,No weight loss in last 2 months. Not a known case of DM,HTN ,TB, ASTHMA, CAD and CVA. Attendend a  weight loss programme for which she lost 7kgs in last 7 mnths. Her weight now 66kgs. G

march 17,2023. TH A 79 Y/O MALE WITH RECURRENT CVA AND LEFT HEMIPLEGIA WITH ASPIRATION PNEUMONIA AND SEIZURES DISORDER. CHEIF COMPLAINTS :- A 79 year old male was brought to the OPD with cheif complaints: . C/o altered sensorium since 5 days. .    fever since 10 days .c omplaints of cough since 20 days . difficulty in swallowing since 1 month. HOPI :- Patient was apparently asymptomatic 20days back then  he developed cough which was insidious in onset and gradually progressive. The cough was productive but patient was not able to spit it out and he also faced Difficulty in swallowing. 20 days back ( on feb 25th) he started to have cough and cold On march 3rd secretions got increased and he was unable to spit that out After 2 days went to a hospital and got admitted for 5 days during which he got those secretions cleared out H/o change of voice since 20 days, insidious, hoarse in character and  Slurring of speech was seen. H/o cough on intake of liquids. No h/o hemoptysis, difficulty in