72 YEAR OLD FEMALE WITH UNCONTROLLED DIABETES

August 31, 2022

72 YEAR OLD FEMALE WITH UNCONTROLLED DIABETES

SAI DHEERAJ

72 year old female with uncontrolled diabetes

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CHIEF COMPLAINTS:

Decreased appetite since 3days

Shortness of breath since 3 days

Vomiting since 2 days

HOPI:

Patient is apparently asymptomatic 6 days ago there is an episode of fever 6 days back and relieved on medication and presented to OPD with chief complaints of decreased appetite since 3 days and vomiting since 2 days which is non projectile , food which is taken prior is the content of vomiting. There is shortness of breath since 3 days experiencing on rest.( Grade 4 mmrc).

PAST HISTORY:

1year back:

There is a past episode of decreased urine output and burning micturation, swelling of both limbs and decreased appetite and vomiting s and admitted in the hospital and given medication.

2 years back

There is slight pain in the knee joint and consulted a doctor and given a intra articular injection and there is increase in pain since then.

There is history of constipation since 2 years.

Patient is a known case of diabetes and hypertension since 20 years and on medication regularly.

PERSONAL HISTORY:

She is a housewife and does her daily activities by herself

Diet: mixed

Appetite: decreased

Sleep: adequate

Bowel and bladder: regular

No addictions.

GENERAL EXAMINATION: