Ujwala 137

 A  65 year old female  came to the OPD with complaints of  lower back pain radiating to the lower limbs . Chief Complaints:  A 65 year old female home maker, resident of  Tummalaguda came to the OPD with complaints of  Severe lower back pain radiating to the legs since 6 days, fever since 1 week and shortness of breath. History of presenting illness: The patient was apparently asymptomatic 1 week ago when she felt pain in the lower back which was insidious in onset, gradually progressive, radiating to the lower limbs upto her knees and of stabbing type. She also had low grade fever since a week that was intermittent and not associated with chills and rigor. It was relieved on medication. She also has shortness of breath (grade II). She has constipation since 4 days. Past history:  History of  HTN since 10 years for which she was on medication. Osteoarthritis since 10 years. N/K/C/O DM, TB, asthma, thyroid disorders, epilepsy, CAD or CVA Personal history: Diet: mixed Appetite : decreas

 76 yr male patient came with the complaints of Bilateral pedal edema and unable to walk since 20 days  History of present illness  Patient was apparently asymptomatic 20 days back then he developed bilateral lower limbs edema upto knee which is insidious in onset gradually progressive and aggravated on standing and walking ,relived on lying down . Complains of pain in the legs since 20 days which is aggravated on walking and relived on lying down.History of burning sensation in the legs since 20 days.History of Shortness of Breath since  No History of headache. Giddiness, Patient is a farmer 4 years back ,then he stopped farming  due to generalized weakness.He wakes up by 6am ,by 9am he completes his breakfast containing jowar roti and curry then he will have a cup of tea with sugar.He takes lunch at around 2:30pm ( rice with curry and milk).At around 5:00 pm he again drinks tea with sugar and biscuits .He completes his dinner by 8:00pm and sleeps by 9:30pm. Past illness  He is a know