65 YEAR OLD MALE PATIENT WITH PRODUCTIVE COUGH AND SPUTUM

A 65 year old male patient came to the op woth a cheif complaints of severe cough with sputum since 1 week ,fever since 6 days , and pain in the chest region 

HISTORY OF PRESENTING ILLNESS
The patient had severe cough since 1 week , that was productive and the sputum was whitish in colour, there are no aggrevating factors but relived on medications (ascoril)temporarily . The fever was low grade,and continuous type, and was associated with neck pain since 3 days and lower back ache since 6 days,There was pain in the chest region which was of dragging type,He also complained of loose stools since 6 days.

PAST HISTORY
No history of hypertension, diabetes mellitus , tuberculosis,CAD,CVA,thyroid issues,asthma .

PERSONAL HISTORY 
Mixed diet
Normal appetite 
Normal sleep 
Normal urination
No burning micturition 
Normal bowel movements 
General examination : the patient was moderately bulit well nourished, conscious and coherent 
No pallor, icterus , cyanosis ,clubbing, lymphadenopathy ,edema 
Bp : 100/60 
RR:14bpm 
Pulse: 60 ( low volume ) 
Temp: febrile 

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40 YEAR OLD FEMALE WITH BACK PAIN

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A 40 year old female patient came to the op with a cheif complaints of severe back pain since 1 week. HISTORY OF PRESENTING ILLNESS The patient had severe back pain since 1 week , that was sudden in onset and throbbing kind,  The pain was aggregated on bending and doing work,and temporarily relieved on medications  . PAST HISTORY Known case of thyroid and is on medications (thyronorm-25mg) No history of hypertension, diabetes mellitus , tuberculosis,CAD,CVA,asthma . PERSONAL HISTORY  Constipation Mixed diet Normal appetite  Normal sleep  Normal urination No burning micturition   General examination : the patient was moderately bulit well nourished, conscious and coherent  No pallor, icterus , cyanosis ,clubbing, lymphadenopathy ,edema  Bp : 110/70  RR:24rpm Pulse: 80bpm Temp: febrile
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