stimitamaity

A 75 years old Male farmer presented to the medicine opd with the   Chief  complaints  of  Swelling of both the feet ,ankles and hands and facial puffiness since 10 days. He also complained of back pain since 2 years and swelling in the left inguinal region since 1 year. Patient being a farmer used to go to his field regularly and was living his normal life.he used to eat regularly and was able perform all his daily activities on his own.Then 2 years back he developed back pain but he neglected. Then 1 year back he developed pain and swelling  in the groin and was getting problems in performing his daily activities as he was not able to bend forward and was getting pain while lifting heavy weight.He went to  local doctor and doctor said that he needs to get a surgery done but as an old villager he was scared of surgery and he kept on doing his work in spite of having pain and swelling.Then 10 days ago he took covid vaccine and he developed swelling in both the hands,legs and facial puf

A 40 years old Male presented with the  chief complaints of : fever since 7 days                                        Cough since 5 days                                       Loose stools for 1 day. HOPI ::                  Patient was apparently asymptomatic 7 days back the he developed fever which was sudden in onset, Intermittent in nature, High grade. Associated with chills. It was associated with cough since 5 days. There was presence of sputum which is serous and non foul smelling, non blood stained.  Patient felt chest pain due to cough again and again. Loose stools for 1 day and that happened on the 2nd day of fever. Associated with abdominal pain which was throbbing in nature. It was not associated with sneezing of any other cold symptoms.  No history of vomiting,burning micturition. No history of bleeding gums or mouth. No history of breathlessness. No history of joint pain and retro orbital  pain,muscle pain. No history of rash. Past history::    He is a known case of hype