138 Vagisha Rani

GM Blog: 34 year old male patient  NOTE This is an ongoing case and will be updated  The reference link (if any) will be mentioned at the bottom. Date of admission: 25/02/22 CHIEF COMPLAINT :- YELLOWISH DISCOLORATION  of eyes and urine since7-8 days c/o abdominal distension since 7days HISTORY OF PRESENT ILLNESS-  pt was apparently asymptomatic 7 months back, then the first time he had yellowish discoloration of eyes he was admitted to a local hospital and was diagnosed with alcoholic liver disease and was advised to stop alcohol. 2 months back his brother expired, out of agony he again started drinking excess alcohol 180-360 ml since 40 days. patient developed progressive distension of abdomen associated with yellowish discoloration of eyes and urine. h/o fever on and off since 1 week h/o constipation since 2 days no h/o melena, hematemesis ,no sleep disturbances h/o of weakness since 10 days PAST HISTORY: No history of hypertension, diabetes no history of CAD ,asthma no history of s

48 yr old male patient NOTE This is an ongoing case and will be updated  The reference link (if any) will be mentioned at the bottom. Date of admission: 12/02/22 CHIEF COMPLAINT- Patient came to the OPD with complaints of chest pain (since yesterday) with fever, cough and cold from 3 days. HISTORY OF PRESENT ILLNESS-  Pt was apparently asymptomatic 4 days back then developed fever - high grade associated with chills,rigor and cough. C/o dry cough , aggrevates at night  C/o 1 episode of vomiting associated with food particles 1 day back  Pt had similar complaints of fever associated chills and rigor in the past since 5 years 4 years back pt got hospitalized with fever and chills and got diagnosed with DM In past 5 years , pt had 5 - 6 hospital admissions with similar complaints due to heavy drinking and got diagnosed with fatty liver and jaundice. H/o seizures since 5 years  4 - 5 episodes in last 5 years , with gap of 1 year in between the episodes . Last episode - 1 year back  Tong