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Correlation of increased neck circumference with microvascular complications in diabetes mellitus: Conversations

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Thesis topic is correlation of increased neck circumference with microvascular complications in diabetes mellitus:  Case 1 A male Patient name ** age 55 carpenter by occupation with ip no 201740710 came to hospital for scrotal swelling to general surgery department..  History of Present illness: Pt was apparently asymptomatic 6 years back then he developed blurring of vision which gradually progressed and pt started developing ocular morbidity and pt was unable to see objects at a distance of 6 mts. Associated with H/o increased urination. H/o increased thirst hunger at the time of presentation.. Patient was taken to a local hospital were pt was diagnosed as diabetes and opthalmologist examined the patient and told the patient that he had started developing changes related to diabetes and was told to start treatment for  diabetes with glimiperide 1gm and metformin 500mg .. but the patient was not adherence to the the treatment.. the patient vision didn't imp...

Hypertension in young. Familial Hypertension? (Conversational learning)

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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. History of present illness:  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 (...

CORRELATION OF WAIST-HEIGHT RATIO WITH MODIFIABLE CARDIOVASCULAR RISK FACTORS

DEPARTMENT OF GENERAL MEDICINE     KAMINENI INSTITUTE OF MEDICAL SCIENCES, NARKETPALLY                                  CORRELATION OF WAIST-HEIGHT RATIO WITH MODIFIABLE CARDIOVASCULAR RISK FACTORS INTRODUCTION:  > The Indian subcontinent is undergoing an epidemiological upheavel as non-communicable diseases are becoming major cause of morbidity and mortality. > Rising incidence of diabetes mellitus, systemic hypertension,dyslipidemias and obesity,the well known risk factor for cardiovascular disease is the leading cause for increased incidence of cardiovascular diseases. CARDIOVASCULAR DISEASE  > Cardiovascular diseases are the number one cause of death globally. > Representing  31% of all global deaths in 2015.[1] > Over three quarters...