General medicine

 A 30 yr old female patient came to opd with chief complaints chest pain and pain at back of chest  HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 6 months back,then she developed chest pain which was episodic for every 15 days,pain was aggregating while breathing and doing work,and reliving during medication, pain was radiating towards the back of chest  PAST HISTORY: She had undergone with hysterectomy 6 years back  N|K|C|O  Hypertension, Diabetes, epilepsy, asthma, TB FAMILY HISTORY: Not relevant Drug history: Nil PERSONAL HISTORY: Diet : Mixed Appetite : normal Sleep: inadequate due to chest pain Addictions : Nil Bowel/ bladder: regular bowel movements Allergies: nil GENERAL EXAMINATION: Conscious coherent cooperative  Moderately built Moderately nourished  No pallor   No Icterus   No Cyanosis  No clubbing of finger  No lymphadenopathy Pedal edema with pain present while sitting for long time about 30 min,then it was relive  by walking ,it was present from past  6

 A 78 year old male came to OPD with chief complaints of bilateral pedal edema since 2 months HOPI Patient was apparently asymptomatic 2 months back then he developed bilateral pedal edema (pitting type) which was sudden in onset and gradually progression. PAST HISTORY - Known case of hypertension since 1 year and using medication for it (clindipine) - Similar complaint of pedal edema an year ago and it was relieved by medication  No DM No TB No Syphilis No CVA No CAD - H/O surgery for renal calculi 5 years back  Family history. No significant family history Drug history Patient is on clindipine since 1 year Personal history Diet - Mixed Appetite - abnormal Bowel movements - irregular Bladder movement - regular Sleep - adequate No allergic history Addictions Consumes alcohol and tambaku PHYSICAL EXAMINATION A. General Examination Conscious  coherent and cooperative Moderately built No pallor No icterus No cyanosis No clubbing of fingers No lymphadenopathy Pedal edema VITALS. Temperatur