50/Male who is a resident of choutuppal Daily wage labourer by occupation Came with cheif complaints of Fever since 10 days Facial puffiness and periorbital edema since 4 days Weakness of right upper limb and lower limb since 4 days Altered sensorium since 2 days History of present illness: Patient was apparently asymptomatic 3 years back and went to local hospital in/v/o Regular checkup and came to diagnosed with Hypertension since then he was on regulate medication... And on 18/04/21 He went to local PHC for COVID 19 vaccination.. Since that night patient is complaining of Fever associated with chills and rigors, high grade fever, no diurnal variation which was relieved on medication... No c/o cold and cough Followed by patient is having similar complaints after three days and he visited local hospital which is not subsided by medication ( Antipyretics) ( not taken medication such as steroids, oxygen therapy, anti virals) On 28/04/21 , c/o Generalized wea...
Project Title : MICROVASCULAR AND MACROVASCULAR COMPLICATIONS IN TYPE 2 DIABETES MELLITUS. Need for study : Diabetes Mellitus is a group of metabolic diseases characterized by chronic hyperglycemia associated with disturbances of carbohydrate, fat and protein metabolism due to absolute or relative deficiency in insulin secretion and/or action. Diabetes causes long term damage, dysfunction and failure of various organs; especially the eyes, kidneys, nerves, heart and blood vessels. In a nutshell diabetes is appropriately described as a “Metabolic cum Vascular disorder” The micro-vascular complications of both Type 1 and Type 2 DM result from chronic hyperglycemia. Since type 2 DM often has a long asymptomatic period of hyperglycemia, many individuals with Type 2 DM have complications at the time of diagnosis. To understand whether microvascular complications distinctly precede macrovascular complications or do ...