Eluri vishnu vandana 44

 Chief complaint:  25 year old patient resident of Nalgonda who is a painter by occupation is presented to the general medicine ward on (7-6-2022)with chief complaints of pain in the abdomen since 3 days. History of presenting illnesses. Patient was apparently asymptomatic 5 year’s ago , then he started consuming alcohol and gradually increased to 12 to 18 units per day.  He had tremors and sleep disturbances on taking alcohol, cravings for alcohol are present. Along with alcohol he started consuming cigarettes dice 3 years 4 to 5 per day. He complains of difficulty in passing stools if he doesn’t smoke cigarettes. 2 months ago he was admitted in government hospital in Nalgonda due to weakness , decreased appetite and had hallucinating behaviour there he was accordingly treated and recovered with in 2 days . He was diagnosed with alcohol withdrawal syndrome and was admitted in DAC. While he was in DAC he had Severe abdominal pain and was admitted in the general medicine ...

 PRESENTING COMPLAINTS: A 15 yr old boy, resident of Nalgonda, studying 9 th class came to the casualty 6 days ago with c/o SOB  History of presenting illness : Patient was apparently asymptomatic 2 months back then he developed fever which was sudden in onset,intermittent associated with chills and  subsided on taking medication, which was followed by vomiting (2-3 episodes every day) which occurs after having dinner, it is associated with food particles and not associated with blood He had these episodes for 10 to 15 days.  They went to the local hospital in nalgonda and the patient was found to have 62 mg/dl urea level and creatinine level was 8.3mg/dl , so they referred him to Hyderabad hospital, where they had been told that he has CKD, in a day urea level had raised to 135mg/dl and creatinine level had increased to 10.7. They have immediately started him on dialysis. 5 sessions of HD were done and he felt better.  5 days ago he came to the hospital with c/...