S. Amulya

 A 19 year old male student came with a chief complaint of joint pains since four days. HISTORY OF PRESENT ILLNESS:-  Patient came to the causality with joint pains since 16/3/2022  Patient is a known case of sickle cell Anemia and Beta thalassemia. He had severe joint pains in the past also since 4 years . He was given IV fluids and antibiotics for the pain. HISTORY OF PAST ILLNESS:- In 2008 patient had yellow discoloration of eyes and visited our hospital and was given iron supplements  In 2012 patient was adviced for HPLC Patient HbF: 27.7% HbAo: 5.4% HbA2: 4.7 HbS : 61.3 - diagnosed with sickle cell Anemia and Beta thalassemia. Patient was adviced to take folic acid 5mg everyday. In 2018 patient had joint pains 1 episode and visited hospital and was given IV fluids and the pain subsided after 4-5 days. In 2019 again the patient had severe joint pains 1 episode and was given IV fluids. In 2020 and 2021 also patient had 1 episode of joint pains each year . In 2022 ...

A 35 year old female from marapaka, came to casualty with c/o shortness of breath since 20 days.  History of present illness :- Pt was apparently asymptomatic, 2 months back then she developed breathlessness which is insiduous in onset since 20 days which aggrevated on performing physical work and was relieved on rest. Then she  visited a local hospital in miryalaguda, on evaluation she had low hemoglobin count and 2 blood transfusions were done and was given medicines for a week. After using these medicines for one week she developed bilateral pedal edema (pitting type). So she visited a hospital in guntur. As there are no aarogyasri services in guntur she came back to nalgonda regarding the same issue. She had one more blood transfusion in Nalgonda hospital. Later she developed breathlessness and visited our hospital. She was on medication and her breathlessness subsided after 3 days of admission. She had 5 blood transfusions here and was on dialysis(10). Pedal edema did not...