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A 39 year old male with abdominal pain

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39yrs od male came with the cheif  complaints of pain abdomen since 4 days andcomplaints of increased frequency of urination with burning micturition since 4 days,fever since 4 days. [  ] HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 3 yrs back then he went to a hospital with complaints of increased frequency of urination and diagnosed to be as Type2 diabetes mellitusand startedhis medication taking  oral antidiabetic drugs,he was on regular followup.Since 1 month he is on routine checkup. He had uncontrolled sugars >300.Now presented with complaints of pain abdomen at umbilicus and at lower abdomen region since 4 days C/O  b/l loin pain since 4 days,intermittent not associated with nausea ,vomiting,abdominal distension,loose stools.Burning micturition since 4 days with red colored urine. C/O increased frequency of urination/urgency.Sometimes he is passing urine in his clothes before reaching the washroom (Urge incontinence) Fever since 4 days,lo...

A 60 Yr male with fever and Alterations in sugar levels,,

A 60 Year old male with chief complaints of fever since 7 days Alterations in sugar levels since 7days CASE This is a case of 60 yr old male who came with the chief complaints of fever since 7 days and Alteration in sugar levels since 7days  History of present illness  Patient was apparently asymptomatic 7 days back then he developed raise in temperature which was insidious in onset gradually progressive associated with chills and rigor temperature is aggravated during night and temporarily releived by medication.There is history of fatigue, Burning micturition.No H/O photophobia, decreased vision, pain abdomen, vomitings, loose stools, dark colored stools.No H/O bleeding manifestations. Past history  There is H/o Diabetes since 16 years  No H/O Tuberculosis, Asthma, Hypertension, Epilepsy, Thyroid. Family history  There is no significant family history.  Drug history  Glimeperide,voglibose & metformin tablets are used. Personal history  DIET ...