52. Amulya

  This is an online E-blog to discuss our patient identified health data shared after taking the consent. Here we discuss our patient problems through series of inputs available. History of Present Illness: A 46 year old female patient came to hospital for dialysis Patient was apparently asymptomatic 5yrs ago when she underwent surgery for Right eye.This surgery wasn't successfull and the patient was on continuous pain since then. The patient then went for regular checkup 1 and 1/2 year ago was found out serum creatinine to be 6.0 and was on medication since  on jan 18th 2022 , the patient has severe shortness of breath (even at rest) and admitted at a local hospital , following serum creatinine was found to be 14.0 .So a fumoral line was placed for dialysis. she underwent dialysis for 4 times following the vein got clotted and it led to swelling of lower limb(left) and there was discolouration later she underwent 12 sessions of dialysis till now in various hospitals History o...

HISTORY OF PRESENT ILLNESS: A 50 year old male patient came to casualty with the complaint of tingling in both the legs as well as arms since one day, and even had the complaint of slurring of speech since 3 hrs. patient is diabetic since past 10 years and has been incidentally diagnosed. patient was asymptotic one day back but today morning he developed numbness and tingling in arms and legs for few hours which subsided. But started again at 3:00pm and also complains of slurring of speech. No H/O vomitings, headache, blurring of vision No H/O seizures, loss of consciousness. SURGICAL HISTORY: 4years back due to trauma and uncontrolled Diabetes mellitus, patient 1st thumb and little finger were removed, later all other fingers were removed. since the surgery he is on Daily mixtard 25U once a day. PAST HISTORY:  DM since 10 years  HTN since 6 years and on Tab Amlong 2.5 vitals: temp: 98.4 F PR: 93 BPM RR: 18 com BP: 130/90 mmHg Spo2: 98% at RA CVS: S1 S2 +, no murmurs CNS: pati...