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