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64F with htn ckd denovo dm2 altered sensorium

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Sathamma 202422642 Chief complaints :- This is a case of ,64 yr old female from chinnasuraram who is agricultural and daily wage labourer by occupation brought to casualty with chief complaints of Breathlessness since 20days. Decreased Urinary output since 10 days. Fever since 5 days. History Patient was born and brought up in chinnasuraram living with her sibling.she is illiterate and started her occupation as daily wage labourer at the age of 10 years she lead a healthy childhood and at the age of 13 years she got married to her husband and had 5 children.Of them her second son accidentally fell and expired at his work place 5 years ago,she felt low due to her son's demise and remained apparently asymptomatic 4 years ago, after the demise of her husband (due to renal issues - due to breathlessness; he was chronic smoker and alcoholic); she was feeling low and continued to look after her grandchildren at home, and does household works. She started taking pain killers twice daily a
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45 Female with Neck pain,Denovo hypothyroidism,Denovo diabetes,hypertension

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Saraswathi  202337506 Cheif complaints  A 45 uear old female came to GM opd with chief complaints of Neckpain since 10 days and low grade fever since 10 days  Patient was resident of guntur where she lives with her parents and her 3 siblings,she is a 3rd child,Did not go to school and entered handloom work at 10years of age. She was married at age of 15years and and by the age of 17 she had first child and after 3 years of 1st child birth she got concieved had spontaneous abortion at 6months of gestational age due to work pressure and increased stress.3 years after the second pregnancy she had 3rd child and at 3 months of age the baby died due to fever.she felt depressed at worried about that event.After 3 years from that event she gave birth to 4th child with no health issues. Since then she is doing fine with her life. 4 years ago she had h/o generalised weakness for which she went to local hospital and diagnosed of having hypertension and started on Tab.Losartan(50mg)+Tab.Hydrochlor
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