Cheera Preethi General medicine elogs

25year old male painter by occupation since 8  years came tocasuality on 7/2/23 with complaints of c/o fever,vomitings,constipation since 1 week C/ o chest pain, palpitations since 1 week C/o sob since 1week c/o neck pain History of present illness Patient was apparently asymptomatic 9 years back, Patient c/o blurring of visionin right eye for which he went to local hospital used medication eye drops(Rt>>Lt) wasn't subsided  In 2014 patient c/o severe weight loss approximately 10-12 kgs over a duration of 2 months. And having increased appetite, increased frequency of urination with these complaints he went to Local hospital and diagnosed with type 1 diabetes mellitus and since then he was started on Mixtard insulin 28U -x - 24U and since then he is on regular follow up.. 24u- x-20u now he was using  His fbs used to be around 200-250 and ppbs around 250-300 Last HbA1c was 11.2 on feb 3rd  Now since 1 week patient had a fever whichwas sudden in onset high grade associated with

I’ve been given this case to solve in an attempt to understand the topic of “patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations, and come up with diagnosis and treatment plan Ch.preethi Admission number:176050 85 year old men came to causality on 31/01/23 with  CHEIF COMPLAINTS: A 85 YEAR OLD MALE PATIENT CAME TO CASUALTY WITH CHEIF COMPLAINTS OF C/O LOOSE STOOLS SINCE 3-4 DAYS AND VOMITINGS SINCE 3-4 DAYS. HOPI: PATIENT WAS APPARENTLY NORMAL 3-4 DAYS BACK.THEN HE HAD 4-5 EPISODES OF WATERY BLACK COLOURED STOOLS SINCE THEN AND HAD LOOSE STOOLS FOR LAST 4 DAYS.STOOLS WERE FOUL SMELLING, ASSOCIATED WITH PAIN ABDOMEN . H/0 VOMITINGS SINCE 3-4 DAYS,3 EPISODES PER DAY.NON PROJECTILE,NON BILIOUS,NON FOUL SMELLING WITH FOOD PARTICALS AS CONTENTS. H/O PAIN ABDOMEN - SQUEEZING TYPE AROUND UMBILICUS AND RADIATING TO BOTH LUMBAR REGIONS. H/O LOSS OF APPETITE SINCE 1 WEEK  H/O DECREASE URINE