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ENTERIC FEVER,DIABETES MELLITUS SINCE 9 YEARS, HYPERTENSION SINCE 1 WEEK WITH ANEMIA-MCHC SECONDARY TO NUTRITIONAL CAUSE

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A 49 years old female who is a house wife by occupation came with C/O FEVER SINCE 2 WEEKS HOPI Patient was apparently asymptomatic 9 years back then she started having bleeding per vagina for which she went to hospital & Diagnosed to have ? Fibroid uterus for which she went to a private hospital in hyderabad for hysterectomy as advised in local hospital. Then she had high sugars for the first time (Around 450mg/dl).So she was admitted in the hospital & hysterectomy was done after controlling the sugars with Insulin. Then she was discharged with the following advice  Tab.GLIME M1 PO BD & continued the tablet for 3 years Along with diabetic diet.  Then she came to our OP for Follow then she was prescribed with Tab.GLIME M2 PO BD which she used for 2 years. Then she came to our OP for Follow up then she was escalated to Tab.GLIME M3 PO BD. March 2023 [1ST VISIT] She had ulcer over left great toe for which she was admitted in our hospital & got relieved. 18th of November 20
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40M TYPE 1 DIABETES MELLITUS WITH UNCONTROLLED SUGARS, ATROPHIED PANCREAS

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 A 40 years old male, an auto driver by occupation came to OPD with C/O   loss of consciousness at around 3 am since 20 days C/O nausea since 1 week C/O weakness since 1 week HOPI  :  Patient was apparently asymptomatic 20 days ago then developed hypoglycemic symptoms at around 3 am and patient became unresponsive. Hypoglycemic symptoms were relieved on having some sugar syrup or chocolate. Similar episode has been occurring on a daily basis from the past 1 week. H/O of increased physical activity beyond patient's usual routine from past 20 days                                     ⬇️    H/O of which hypoglycemic event occurred early in morning  No h/o sweating, palpitations during that episode.  No h/o vomiting, blurring of vision during that episode  No h/o of fever No h/o pain abdomen, loose stools  No h/o burning micturition, decreased urine output  No h/o polyurea , polydypsia , polyphagia  No h/o similar complaints in day time  Year -2001   23 years ago, he experienced head tr
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