Dr Keerthi Sree Reddy Endoori_KIMS

Six days back, a 21 year old female presented to our department with yellowish discoloration of sclera and high colored urine since one month. She has episodes of low grade fever in the past one month. She also complained of shortness of breath for 3 days and two episodes of vomitings. She complained of retro-sternal chest pain which did not radiate and it wasn't associated with palpitations, syncopal attacks, cough, swelling of lower limbs. Upon probing further into her illness, she told that she had the yellowish discoloration of sclera since childhood and it has aggravated in the last one month. It was known that she used to have occasional episodes of pain in both knee and ankle joints bilaterally since six months. She also noticed that her skin complexion has darkened over the last six months especially on the dorsal aspects of upper limbs. There's no H/o pain abdomen, loose stools, decreased urine output, burning micturition, itching. Past history: She used unk

A 27year old male patient had came to the General medicine Outpatient with the complaints of Headache, of 2 weeks duration, intermittent in nature not associated with nausea,vomiting,photophobia, neck pain. H/o excessive sweating present even on slight exertion . H/o Snoring present. No h/o weakness in any limbs, paresthesias, palpitations, syncope, chest pain. Past history: - K/c/o Hypertension-Diagnosed 1 and half year back-On Amlodepine 2.5mg OD  Family history: Hypertension in two elder brothers and one sister at a young age. One brother was diagnosed to be hypertensive at the age of 29years..Was on medication and at the age of 40 he had a below knee amputation of both lower limbs done in v/o ?Ischemia(no documentation available) and then sudden demise happened. Another brother was hypertensive at a young age...Had Stroke(CVA) and sudden death happened.  H/o ?Seizures in both the brothers (as said by the patient) On Examination at the ti

WAIST-HEIGHT RATIO IN PATIENTS WITH MODIFIABLE CARDIOVASCULAR RISK FACTORS. Abstract: Introduction:   Definition of Hypertension according to National Institute of Health and Care Excellence guideline is Clinical Blood Pressure  of 140/90mmHg or higher and subsequent ambulatory blood pressure monitoring daytime average or home blood pressure monitoring average is 135/85 mmHg or higher. Materials: Study design: Observational prospective study. Place of study: Out-patients and In-patients of department of general medicine in Kamineni institute of medical sciences. Period of study: October 2017 to September 2019.    Inclusion criteria: *Patients more than 18 years of age will be included, both the males and females. Patients with elevated blood pressure-Any combination of 1. Systolic blood pressure more than or equal to 140mmhg and/or, 2. Diastolic blood pressure more than or equal to 90mmhg and/or, 3. Patients with physician diagnosis of hyperte