Cases.

A 47 yr old male presented to op with c/o Abdominal distention since 15 days B/l pedal edema upto thigh since 15 days,with a slight decrease on lying down Not a/w dyspnoea,fever, decreased urine output,Malena  constipation, haematemesis,easy bruisability, Not a k/c/o dm2 or htn K/c/o chronic alcoholic since 20yrs consuming 180ml whiskey /day discontinued for the past 2 months due to unavailability of liquor Not a smoker Prov diagnosis as per history: alcohol liver disease?cirrhosis(decompendated) On general examination: Icterus+ No signs of clubbing No spidernaevi,palmar erythema,gynecomastia,leukonychia,  Abdominal examination Appeared tensly distended with no engorged veins ,umbilicus is flat,no striae Palpation:organs couldn't be palpable                    Shifting dullness +(indicating fluid >1000ml)       Fluid thrill absent Auscultation: bowel sounds present,no bruits     ...

A 49yr old male presented to the casuallty with c/o headache -b/l frontal radiating to the back A/w -blurring of vision in both eyes since 2 days Giddiness on getting up from lying down position Drooping of upper eyelid - on the rt with deviation of mouth to the right Not a/w vomiting ,photophobia ,phonophobia, Weakness of limbs,deviation of tongue,loc, bowel and bladder abnormalities There is no drooling of saliva, difficulty in swallowing, hearing impairment, palpitations, loss of sensations of the face K/c/o htn since 5 yrs on aten+amlodipine (50/5)good compliance as per pt.and attenders K/c/o smoker since 10yrs 10bidis /day K/c/o chronic occasional alcoholic 90ml whiskey with last binge 2 months back O/E General condition" conscious coherent Moderately built and moderately nourished No pallor ,icterus, Clubbing+ Cyanosis of tongue + PR-106/min Bp-170/90mmhg CVS -both S1 and S2 heard in all areas ,no murmurs RS bae+ nvbs in all areas P/a- soft ;non tend...