General medicine

 14 M with chief complaints of cough and cold since 1 week  Telangana PaJR History of presenting illness : Patient was apparently asymptotic 1 week back then he developed cough and cold . Cough is productive type and sputum is white in colour and associated with chest pain while coughing since 1 day and body pains since 3 days  Not associated with fever  Past history; No similar complaints in the past H/o dengue 3 years back  H/o blood transfusion in view of low platelet count  N/k/c/o - dm ,htn ,epilepsy,tb cvd , cad, asthama  Personal history ;  Diet ; mixed Appetite ; normal  Bowel and bladde movements ; regular  Sleep ; adequate  No addictions  Vitals   temp : afebrile   Pulse  ; 100 bpm  B p ; 120/80mm hg  General examination Patient’s consent was taken  Patient was examined In a well lit room.  He was conscious, coherent , cooperative  No pallor  No icterus  No cyanosis  No clubbing  No lymphadenopathy  No edema

 C/O chest pain since 3 months  History of presenting illness- Patient was apparently asymptomatic 3 months back he then complained of chest pain which was sudden in onset, stabbing type of pain, non radiating, aggravated by emotional stress and fear. No relieving factors.  Associated with shortness of breadth Not associated with sweating. Past history- H/O renal calculi since 10 years  N/k/C/O - DM, HTN, epilepsy, TB, asthma, CAD, CVD  No H/O - surgeries  Family history-  Not significant  Personal history-  Diet- mixed  Appetite- normal  Bowel and bladder movements- regular  Sleep- adequate  Addiction - occasional alcoholic - not addicted  Toddy weekly once  Vitals-  Temp- afebrile  Pulse rate - 94bpm  Respiratory rate- 16cpm  Blood pressure- 120/90 mm hg  General examination-  Patient consent was taken  Patient was conscious,coherent , cooperative  Moderately built, moderately nourished  No pallor  No icterus  No cyanosis  No clubbing  No lymphadenopathy  No edema