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A 45YR OLD FEMALE DIAGNOSED WITH ANEMIA SECONDARY TO B12 DEFICIENCY

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Diagnosis : BAKER CYST ATROPHIC FUNDAL GASTRITIS ANEMIA SECONDARY TO B12 DEFICIENCY  Case History and Clinical Findings:  C/O SWELLING IN THE LEFT POPLITEAL REGION SINCE 3 MONTHS C/O PAIN OVER SWELLING SINCE 2 DAYS  HOPI: PATIENT WAS APPARENTLY ASYMPTOMATIC3 MONTHS AGO THEN SHE DEVELOPED PAINLESS SWELLING IN THE LEFT POPLITEAL REGION WHICH INCREASED IN SIZE NOW MEASURING APPROXIMATELY C/O PAIN ASSOCIATED WITH SWELLING SINCE 2 DAYS SUDDEN IN ONSET,DRAGGING TYPE,NON RADIATING NO H/O FEVER NO H/O VOMITINGS,NAUSEA.  PAST HISTORY: NOT A K/C/O DM,HTN,ASTHMA,TB,EPILEPSY,CVA,CAD  H/O TONSILLECTOMY DONE 10 YEARS BACK  GENERAL EXAMINATION:  PATIENT IS CONSCIOUS,COHERENT,COOPERATIVE,WELL ORIENTED TO TIME,PLACE AND PERSON. NO PALLOR,ICTERUS CYANOSIS,CLUBING,LYMPHADENOPATHY,EDEMA. VITALS: TEMPERATURE:98.6 BP:120/80 MM HG PR:87 BPM RR:18 CPM  SYSTEMIC EXAMINATION:  CVS:S1,S2 HEARD NO MURMURS.  RS:BAE +,NO MURMURS  CNS:NO FOCAL NEUROLOGICAL DEFICITS.  Investigation:
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A 76YR OLD MALE DIAGNOSED WITH IRON DEFICIENCY ANEMIA

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A 76YR OLA MALE OF: Diagnosis: SEVERE IRON DEFICIENCY ANEMIA HEART FAILURE ( EF - 57%) ACUTE GASTROENTERITIS ( RESOLVED) SLIDING HIATUS HERNIA, GERD  Case History and Clinical Findings : A 77 YEAR OLD MALE PRESENTED TO THE CASUALITY AND PRESENTED WITH THE COMPLAINTS OF VOMITINGS , LOOSE STOOLS AND GENERALIZED WEAKNESS SINCE ONE DAY. THE PATIENT WAS EVALUATED CLINICALLY AND WITH APPROPRIATE INVESTIGATIONS WAS PROVISIONALLY DIAGNAOSED WITH SEVERE IRON DEFICIENCY ANEMIA WITH HEART FAILURE ( EF - 57%) HEART FAILURE ( EF - 57%)ACUTE GASTROENTERITIS ( RESOLVED),SLIDING HIATUS HERNIA, GERD. THE PT WAS STARTED ON CONSERVATIVE MANAGEMENT ( IV FLUIDS NS/RL @ 100ML/HR , INJ CEFTRIAXONE 1 GM IV/BD ( 8 AM-8 PM) INJ PAN 40MG IV/TID ( 7AM-2PM-8PM) , INJ ENESET 8MG IV/TID ( 8AM-2PM-8PM) TAB ROSUVASTATIN 20MG H/S (9 PM) TAB ECOSPRIN 75MG PO/OD (8 AM), TAB CLOPRIDOGREL 75MG PO/OD ( 2 PM) , TAB PROLOMET 25 MG PO/OD ( 8AM) TAB BISACODYL 5MG (8PM 2 TABS) INJ IRON SUCROSE 200MG IN 100ML NS IV/OD , SYP GUTCL
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A 73YR OLD FEMALE CAME WITH COMPLAINTS OF BREATHLESSNESS

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A 73YR OLD FEMALE Diagnosis : LEFT HYDRO URETERONEPHROSIS POST RENAL AKI SECONDARY TO URETERIC OBSTRUCTION  K/C/O HYPERTENSION SINCE 3 YEARS  1PINT PRBC TRANSFUSION DONE ON 27/03/24  Case History and Clinical Findings: C/O BREATHLESSNESS ON EXERTION SINCE 4 DAYS  HOPI: PATIENT WAS APPARENTLY ASYMPTOMATIC 4 DAYS BACK THEN DEVELOPED BRETHLESSNESS ON EXERTION INSIDIOUS IN ONSET GRADUALLY PROGRESSIVE GRADE II NYHA RELIEVED WITH REST. ASSOCIATED WITH ORTHOPNEA AND PND, NO SYNCOPE ,PALPITATIONS PRESENT.  NO H/O COUGH COLD FEVER EXCESSIVE SWEATING H/O PEDAL EDEMA PITTING IN TYPE EXTENDING UPTO KNEE  NO H/O PAIN ABDOMEN BURNING MICTURITION  H/O DECREASED URINE OUTPUT PAST HISTORYK/C/O HTN SINCE 3 YEARS ON TAB TELMA 40MG N/K/C/O DM-II/CVA/CAD/THYROID/SEIZURE DISORDERS  GENERAL EXAMINATION:  PATIENT IS CONSCIOUS ,COHERENT , COPERATIVE TEMPERATURE- 98.6 F PR 84 BPM RR 16CPM BP 110/70 MMHG  SYSTEMATIC EXAMINATION:  CVS S1S2 + NO MURMURS  RS BAE+  CNS NFND  P/A : SOFT AND NON TENDER.  NO ORGANOMEGA
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21 year old female with anemia. July 04, 2023

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21 year old female came to gm op with chief complaints of easy fatiguability ,light headedness since 7 years  C/o sob since 7 years ( sometimes )  No c/o Fever, burning micturation,vomitings, loose stools  No c/o involuntary movements or tingling sensation or numbness .  HISTORY OF PRESENTING ILLNESS: Patient was apparently asymptomatic 20 years back then she developed fever , edema over the fronto parietal region and irritability she was admitted in the hospital treated ( her hospital stay was around 10 days and she was discharged ) At the age of 3 years she had an episode of giddiness and was unconscious, she was again admitted in the hospital and then they were told that she had low levels of hemoglobin and she underwent blood transfusion. At 15 years of age she was taken to the hospital for weakness, giddiness , she was admitted in the hospital and had second episode ofblood transfusion, her hemoglobin level improved to 9 after blood transfusion. Few months after blood transfusion
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A 22 yr old female with generalized weakness and easy fatiguability since 2 months July 07, 2023  A 22 yr old female who is a student came with complaints of generalized weakness and easy fatiguability since 2 months  History of Presenting illness Pt was apparently asymptomatic 5  years back then she started to have desire to eat non edible material and went to the hospital and was diagnosed with Anemia (Hb 4gm/dl) and 2 units of PRBC transfusion was done Now since 2 months she is complaining of easy fatiguability with generalized weakness  C/o SOB(grade ll-III) insidious in onset, gradually progressive to grade III,c/o exertional dyspnea  No c/o chest pain, palpitations, orthopnea,pnd  No c/o fever,loose stools, vomitings PAST HISTORY H/o similar complaints in the past H/o two PRBC transfusion N/k/c/o diabetes HTN TB Asthma Epilepsy thyroid disorders  PERSONAL HISTORY Diet  Mixed Appetite normal Sleep adequate Bowel and bladder  regular Addictions No  Daily routine  Pt wakes up around
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