51. Rashmitha Reddy

 A 22 year old female patient came to casualty with the complaint of fever from 5 days and vomiting from 5days with 2-3 episodes /day . History of present illness: Patient was apparently well 5 days back and then developed fever which was insidious and continuous type with vomiting of 2-3 episodes / day of non bolus , non projectile and food particles content . HISTORY OF PRESENT ILLNESS: Patient visited a local hospital on 15-08-21 due fever and vomiting and was given Dolo 650 three times a day and Zofer 4 twice before food. Patient experienced chills during sleep around midnight and complaints was chest pain before vomiting. Patient complaints of stomach ache along with fever and chills . Patient was recommended by local hospital medical practitioner  to visit our hospital a r esults of diagnosis of decreased platelets count. Patient complaints of a blood drop or 2 in urine. PAST MEDICAL HISTORY : No history asthma, diabetes, hypertension . PERSONAL HISTORY : Diet : mixed. Appetite :

 Date of admission: 04-08-2021   A 45 year old female presented to OPD with chief complains of snake bite 7days back .  HISTORY OF PRESENT ILLNESS: Patient was  apparently asymptomatic 5 days back then around 7:30 pm on Wednesday presented with snake bite ( viper) and taken to local hospital after an hour  Anti snake venom  was given   she was fine for one day and there was swelling in right lower limb and later the local hospital was advised her ointment and swelling was subsided. Patient was presented with of vomiting , epilepsy, bilious and with presence of food particles not blood . Patient was presented with abdominal pain 4 days and it was on the peri umbilical region and squeezing type. Patient had headache  No h/o of pedal edema ,  facial palsy . No h/o of burning micturation No h/o of photophobia , diplopia, lacrimation, phonophobia . No h/o of chest pain, palpation, syncopal attack  No h/o of SOB ( shortness of breath) , PND ( paroxsymal nocturnal dyspnea) , asthma. HISTORY