50 yr Male Farmer By Occupation Came to Casualty With Cheif Complaints of Pain both knees since 6 days HOPI :- Patient Was Apparently Asymptomatic 4 years Back , Then He Developed Knee joint Pains,bilateral ,which is Insidious In Onset, Gradually Progressive over years,and similar complaints On & off ,went to Rural Community Practitioner And Given Medicine and got relived. The Patient Had Been Taking pain management Medication whenever he has Joint Pains,Swelling was also present at the knee and Ankle joints during during Pain whenever he gets pain. The patient was able to do his Routine farming Activities for 2 years . Since 2 years the patient stopped doing farming works and used to stay at home and was able to take care of his daily activities. Aggravated during walking and relived with rest and also with medication. Pain was not completely relieved On taking medication but patient used to feel better. Usually pain is migratory typ...
Case presentation: Chief complaints : Yellowish discolouration of eyes since 4 days Indigestion and tightness of abdomen since 4 days History of present illness: Pt was apparently asymptomatic 2 yrs back,then he developed pain abdomen,acute in onset,not associated with vomiting,diarrhoea,jaundice or fever, he went to nearby hospital and was diagnosed with fatty liver, pt said that Doctors prescribed some medication and pain got relieved after using those medicines. Then after 1year patient developed pedal edema which gradually progressed and developed generalised anasarca,jaundice and abdominal distension and abdominal tightness.he was admitted in hospital and evaluated. He got diagnosed with liver disease during hospital stay and underwent paracentesis for ascites. Since then patient had 2 to 3 hospital admissions with similar complaints like pedal edema,abdominal distension,jaundice. 6months later patient had complaints of blood in vomitus suddenly.he had 4 to ...
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