Elog

 A 60 yr old man ,daily laborer, resident of nakrekal ,came with chief complaints of shortness of breath since 3 months History of presenting illness Patient was apparently asymptomatic 4 years back .He used to go to work in the fields in the day and had one litter of toddy every day after work. 4yrs back- pt had frequent episodes of giddiness ,1-2 episodes, every 2-3 days, each episode lasting for around 5-10 minutes, not associated with nausea,vomiting,tinnitus, and relieved spontaneously on rest. Pt went to a local hospital after one month, where he was diagnosed to have hypertension and started on medication. He was asymptomatic for 1 year ,continued his daily field work, then he noticed having swelling of both lower limbs,which was insidious in onset and gradually progressive, upto knee, painless and pitting type, associated with generalized weakness. Went to  hospital after one month and found out to have kidney failure requiring dialysis. In 2019,pt visited our hospital and was

A 36 year old male who is a master cook by occupation came to opd with complaints of yellowish discoloration of eyes and urine since 3 months HOPI: patient was apparently normal 1 year back ,then he developed lower back ache ,diagnosed with renal calculi and was operated. C/o fever since 3 months         Insidious in onset         Gradually progressive         Subsides on its own         More during nights C/o nausea since 3 months C/o vomitings ( 4 -5 episodes) food particles as content H/o weight loss since 1month C/o pain abdomen intermittently and was admitted in an hospital thrice till now and diagnosed with chronic pancreatitis H/o usage of Herbal medicine 1 month back ,6 times/day for a week H/o pedal edema and abdominal distension 1 month back , used medication for this in Nalgonda PAST HISTORY: Alcoholic and tobacco chewer since 20 years H/o Renal caliculi and was operated for that . PERSONAL HISTORY : Thin built Appetite lost Regular alcoholic and tobacco chewer, stopped 3 mo