General medicine

Chief complaints: decreased responsiveness HOP1: 75 yr old male patient farmer by occupation brought to casualilty  with decreased responsiveness 5:00 am.On examination, his blood glucose level was 43mg/dl. Negative History : No History of Headache,Fever,Vomiting ,Chest Pain,Palpitations and Shortness of Breath. Past history: Patient had similar complaints of decreased responsiveness 5 years ago due to low blood glucose levels and was diagnosed with diabetes mellitus,  treated for that in a local hospital.On diabetic medication. Other- Hypertension  Coronary artery disease  Asthma  Epilepsy  Alcoholic since 45 years  Treatment History : For Diabetes  Glimda-MV 2 Personal History: Mixed diet Polydipsia polyuria polyphagia Bowel And Bladder-Regular   Sleep Adequate  No Allergies And Addictions. Alcoholic  Family History: not Significant  General Examination:  Patient is Conscious,  Moderately Built and Nourished. P...

  Chief complaints: altered sensorium,difficulty in walking ,loss of speech,weakness of right upper limb and right lower limb HOP1: Patient is diabetic since 11 years and hypertensive since 1 year  During recent regular health checkup Blood Glucose level was 350 mmol/L and blood pressure was 280mm Hg. Later that day she developed giddiness and was unable to walk properly so was brought to the hospital. Negative History : No History of Headache,Fever,Vomiting ,Chest Pain,Palpitations and Shortness of Breath. Past history:  She was diagnosed with diabetes 11 years ago when she went to a doctor in her locality due to frequent urination. High Bp was noticed during regular blood glucose level checkup.  On medication(diabetic and anti hypertensive drugs) Treatment History : For Diabetes -Dapaglifozin 10mg                              -Metformin 500mg For Hypertension : Telma 40mg  Cilindip...