GM cases

 August 23, 2021 Date of Admission- 22-8-21 A 56 year old female presented to OPD with chief complaints of abdominal pain and vomitings. HISTORY OF PRESENT ILLNESS  Patient was apparently alright yesterday till 7pm then She had sudden onset of vomitings associated with abdominal pain. After an hour she had another episode Till 1am she had 4 episodes of vomitings No history of chest pain, fever, pedal edema, blurring of vision, loose stool HISTORY OF PAST ILLNESS  Diabetic since 5 year 2 yeara on inj mixtard No history of hypertension, asthma, tuberculosis, epilepsy  PERSONAL HISTORY  Diet- mixed Appetite- normal Bowel movement- normal Sleep adequate  No addictions   Menopause attained 20 years back. FAMILY HISTORY  No history of DM, asthma, thyroid in the family. GENRAL EXAMINATION  Patient is conscious, coherent, co-operative. There is no sign of pallor, cynosis, cyanosis, pedal edema VITALS Temperature- afibrile Pulse rate- 90 bpm Respiratory rate- normal BP- 140/80  Spo2-98% SYSTEMI

 Aug 9,2021 Date of Admission-31-7-21 A 60 year old female presented to OPD with chief complaints of diffuse abdominal pain since 7-10days HISTORY OF PRESENT ILLNESS Patient was diagnosed in the nearest hospital 1 year back due to bloating of stomach. The Patient didn't undergo for the further treatment at that time. Patient was suffering from abdominal pain since a month ago and went to the nearest hospital. Test were performed and the reports shown that she is hypoglycemic, hyponatremic and CRP was extremely high about 92.7mh/l and serum creatinine level was 8.9mg/dl. She was refered then to KIMS for further treatment. She is undergoing dialysis(4) since then  She complains of hard stool and prescribed with liq paraffin and milk of magnesia syrup 10ml 3 times a day. She was hypovolemic and undergone blood infusion of 1 unit ( Blood group- B+) HISTORY OF PAST ILLNESS  No history of surgery, asthma, TB, CAD, epilepsy. PERSONAL HISTORY Decrease appetite  Bowel movement is irregular