Neha Rama

  A 55 year old male on dialysis   A 65 year old male who used to work as a farmer until 5 years ago came from x to the medicine department for his scheduled dialysis.  History of present illness  The patient was apparently asympatamatic 7 months ago he was brought to the hospital when    he became unconscious and fell due to hyperglycemia, his FBS was later found to be 400 gm/dl. He was in a coma for 8 days. He developed rashes all over his body 6 months ago which initially started on the legs and gradually spread to the whole body. He developed grade 4 shortness of breath 4 months ago.  2 months ago he developed generalized weakness and body pain which was prickling only type and fluctuating    in nature , there were no aggravating or relieving factors. In the last 2 months he had 2 episodes of non projectile vomitings of the gastric contents.  H/o burning micturation, with decreased frequency and urinary retention which was dark yellow in color.  H/o constipation. Past history  The

August 1 2023, Hello, Mr name is Neha Rama and I am a 5the semester medical student studying in Kaminenei Institute of Medical Sciences, Narketpally. This is an online blog    discussing patient health data after taking his/her consent. This also reflects my patient centered online learning portfolio.  Case sheet  A 54 year old patient who is a resident of suryapet and a daily laborer by profession came to the OPD with chief complaints of Shortness in breath since 3 months, abdominal tightness since 2 months and a traumatic injury to the left upper side of the abdomen since 3 days.  History of present likeness  The patient was apparently asymptomatic 3 months ago after which he developed SOB grade 1. It was gradual in onset and aggravates on walking,on supine position and decreases when he sleeps in lateral positionposition(both right and left). Continuous,non progressive. It is not associated with chest pain. No h/o cough,sweating, palpitations. He started experiencing abdominal tight