G.VAMSI KRISHNA

A 55-year-old male, resident of Nalgonda, who is a farmer by occupation came to the hospital with chief complaints of breathlessness since 6 months • HOPI  :  Patient was apparently asymptomatic for 20 years then had muscle cramps, increased frequency of urination, and giddiness for which he went to hospital and was diagnosed with DM type II and is on medication (T.Glymiperide + Metformin) since then. 1 year back he had generalized weakness, polydipsia, polyurea, and dizziness, visited the hospital and was found to have uncontrolled DM 2 and is on insulin ( since then. Until 6 months ago he worked as a farmer, waking up at 5 am. he takes his breakfast at 7 am. Then he goes to work, has lunch at 1 pm. returns to home at 6-7 pm & has dinner at 8 pm, and goes to bed at 9 pm.  But 6 months back his whole life was changed when he was taken to the hospital after experiencing palpitations, dizziness, blurring of vision, and involuntary movements involving his upper limbs & body, where

A 50 years old male,  mason by occupation and resident of Bhongir, came to the hospital with chief complaints of fever since 2 months, and loss of appetite since 2 months. History of presenting illness A 50-year-old mason who was happily living with his family daily  wakes up at 5 am, goes for a walk to get milk, and returns home. He then has tea with biscuits and rice for breakfast, then leaves for his work by 9 am.  He has rice, for lunch, with curries at his workplace.  He comes back from work at either 7 or 8 pm.  He has rice for dinner at 9 pm and goes to sleep by 10 pm. But his happy life was not so happy from the last 2 months when  he developed Fever which was insidious in onset, intermittent in nature, low grade with no chills and rigors, no aggravating, and relieving with medication. 2 months back while he was working he felt generalized weakness & body pains for which he left work early and went to home. The next  day morning he had fever for which he bought some tablets

A 30-year-old male electrician by occupation from Nakrekal came to the hospital with chief complaints of  weakness in the right upper limb and right lower limb since 15 months Difficulty while speaking since 15 months History of present illness:     Patient was a 30 year old electrician who used to climb up the cell towers for repair works Born in the middle order with one elder brother & one younger brother His daily routine include waking up at 7-8 am and going to work at 9am after having breakfast and returning home at 6-7 pm after a tiring work for 7-8 hrs Married at the age of 25 yrs and has 2 children and us ed to live happily with his family & friends But 15 months back his whole life was turned upside down when he developed sudden onset weakness in right upper limb & lower limb with mouth deviation to left side due to which he was not  able to do his daily work of living & earning and he became dependant on family members Patient was apparently asymptomatic 15