pain abdomen secondary to uncontrolled sugars with DKA with ? pancreatitis with AKI on CKD. (CKD secondary to metabolic acidosis ) with HFPEF( EF- 58%) with metabolic acidosis secondary to DKA & CKD with H/o DM-2 , hypothyroidism , CKD 43 year female came with complaints of pain abdomen & vomitings since 1 day HOPI : Patient was apparently asymptomatic 6 yrs back, then had anasarca , went to hospital in hyderabad & diagnosed to have hypothyroidism ( started on tab.THYRONORM 50 micrograms) & also diagnosed as renal failure & was on TAB.TORSEMIDE 20MG+ SPIRONOLACTONE 50MG & also DM 2 ( started on inj.MIXTARD 6U....X.. .10U & increased doses of MIXTARD to 20U...X...25U since 1 1/2 yr. Currently patient complaining of pain abdomen which is diffuse , intermittent, dull aching pain associated with vomitings, 2 episodes non bilious , non projectile , food as content . No H/O fever, cold, cough, loose stools, constipation , malena,...
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This is a case of 44year old male diagnosed with ALCOHOLIC LIVER DISEASE(ALD) CHIEF COMPLAINTS 44 year old male came to casualty with chief complaints of fever since 1 week which is high grade and associated with chills and rigors HOPI Patient was apparently asymptomatic 12 years back, and he had history of intake of alcohol initially 90 ml gradually progress to amount of 200 ml since2 years. Patient was on alcohol which is about 200 ml initially and then the quantity increased to daily intake of 300 ml with no or minimal food intake. He had shortness of breath and also had generalised weakness. Patient became tachypneic over night(RR 18-32cpm) and also had 2 fever spikes and saturation dropped to 82% on RA and also had respiratory distress H/O agressive behaviour previously but now it got subsided Previously tremors + Decreased appetite yellowish discoloration of sclera is present vomiting of 1 episode patient was admitted in outside hosp...
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