2015 batch LOWER BACK ACHE CASES

49 years old male with CHRONIC KIDNEY DISEASE associated with osteoarthritis of knee

chief complaints: A 49-yr-old patient came with OPD with chief complaints of -bilateral knee pain and Lower bach ache since 2 months. -pedal edema since 1 week. -shortness of breath since 1week. -decreased appetite since 1 week. history of presenting illness: -Pt was apparently assymptomatic 2 months ago, then he devoleped B/L knee pain which was insidious in onset ,gradually progressive ,pain increase on work for which he used NSAID’s prescribed by local RMP for 15-30 days and stopped -he devoleped pedal edema 1 week ago which was insidious in onset and initially restricted to below ankle then progressed above ankle level which is not relieving on rest and not associaed with fever -he devoleped grade II shortness of breath 1 week ago DAILY ROUTINE: Patient used to be a farmer by occupation but he stopped 2 montgs back due to increased knee pain and was mostly confined to his home ad surroundings. He wakes up at around 5:30 AM and freshens up. He will be having breakfast at ...

79Y/M with recurrent CVA with aspiration pneumonia and seizures.

79 y/o male with Recurrent CVA and left hemiplegia with Aspiration pneumonia and seizures disorder COMPLAINTS AND DURATION: A 79 y/o male was brought to casuality with c/o cough since 20 days , fever since 10 days difficulty in swallowing and h/o Aspiration pneumonia since one month C/o altered sensorium since 3 days HOPI: Patient was apparently asymptomatic 20days back then he developed cough insidious in onset and gradually progressive. PRODUCTIVE but patient is not able to spit it out. Difficulty in swallowing. H/o cough on intake of liquids. H/o change of voice since 20 days, insidious, hoarse in character and SLURRING OF SPEECH +present No h/o difficulty in breathing, breathlessness, hemoptysis Fever since 10 days -high grade. O/e Chills and rigors + (38 spikes). N/h/o vomiting, chest pain, loose stools. 7 YEARS BACK:(2016) He developed head ache at around afternon 2pm and followed by vomtings and left hand it...

A 60year old female with neck pain

This is a case of a 60year old female with the c hief complaints of - Neck pain and headache since 5 years HISTORY OF PRESENTING ILLNESS The patient was apparently asymptomatic 10 years ago. She then complained of back pain which is insidious in onset and gradually progressive. There are no aggravating or relieving factors. She then developed a head injury due to a heavy object (bottle gourd) falling on her head. 5 years ago she developed fever which was associated with pain in multiple joints and was diagnosed with Chikungunya. Following the episode the joint pains persisted and the patient complained of pain in multiple joints which started in the fingers and wrist and progressed to all the joints. The pain in the joints is greater when she wakes up and is associated with stiffness. The stiffness is relieved on activity. Her neck pain also started around 5 years ago and is associated with pain in the right nuchal and occipital region and the right shoulde...

SRIVATSA GONWAR ROLL NO 48

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