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40yr old with severe anemia

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30 years old male occupation Working as farmer came to our casualty at 9:15 AM on 13/2/2022 with the chief complaint of dyspnoea since 2 hours and and nausea since 2 hours HOPI : Patient is a resident of iskilla , farmer by occupation he mainly does sowing rice and labourer work . patient was apparently asymptomatic on Saturday (12-2-2022) when he came home after consuming toddy from a place different from  his usual seller  around 2 bottles(360ml) (more than his usual consumption )and complained of back ache to his mother later few hours in he had 5-6 episodes of loose stools which were watery. Later he felt hungry and asked his mother for some food . He ate some rice and curry and asked for some milk.  His mother gave him few drops of milk while he layed in supine position, later at around 3am he had two episodes of vomiting, vomitus was milk like in colour and non projectile, later developed bilateral limb weakness and sob,became deliriant .Seeing his condition his fam...
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