60yrs old man with chest pain since 5_6day

60yrs old man with chest pain since 5_6yrs........

Occupation- factory worker of medicine factory ..

Present complain- chest pain and back pain like a hit on back since 5_6days ago ...
    Tongue- white ..yellowish coated
    Skin- OK
    Thrist - OK
   Appetite- OK
 Urine - OK
Stool- OK
Gait- OK
Smoke - bidi since 25 years ago ..
No liquor or any addiction ..
Vegetarian or non vegetarian
BP- 150/100mg/dl
Pulse- 70/min
RR- 22/min
GC- stable
CNS- conscious
Past history- loose motion since before 6 days and then the back pain and chest pain is started ...but loose motion is cured ....

69yrs old man with breathlessness since 5yrs

69yrs old man with severe cough and cervical pain since 7_8yrs....

Present complain- severe cough ..rapid breathing ..pain in cervical region at back of neck ..headache ..since 7-8 years more at 2 years ..
Tongue- yellowish coated
Skin - normal
Appetite- OK
Thrist - OK
Stool- OK
Urine- OK
Gait- OK
Smoke- Gaanja smoking since before 25 years ago ..left before 1.5 year ago ..
No liquor ..pure vegetarian ..
BP- 180/100mg/dl
Pulse- 98/min
RR- 26/min
GC- stable
CNS- conscious ..
Past history - patient operated before 22 years ..the operation of mouth lip cancer at left side ..patient get well in 15 days ...now 7-8 years before patient feels rapid breath and problem in breathing and very much fatigue on slight movement and rapid breath starts ..

ECG__ packed p in lead 2 ronchi and wheezing B/L..

60yrs old woman with diabetes mellitus since 6yrs

Headache since 2yrs.... badyache
Pain in chest since 2yrs.
Tingling sensation on hand and leg..
Pain in knee joint...since 2yr...
Prolapse of uterus and pain in vagina...since 2yrs...

Past/history ___patient suffer from diabetes mellitus since 6yrs.
Personal /history ____
Tabacco..
Family /history ___not significant
Menstrual /history __menopause 15yrs back
Obs/history ____p8 L8 5male child 3male child...all delivery are normal. ..
Gait__slow walk
Hb_ 12.5gm%
ESR__24
TLC__7800
Bp_130/90   pulse__74/min  Resp.Rate_20
FBS__301mg/dl
PPBS__434mg/dl

55yrs old man with quadriparesis since 2yrs

55yrs old man with quadriparesis since 2yrs.
Patient complaining unable to walk independently. And foeword bending during weight bearing...
Difficult in eating and below knee no sensation.
Cough since 15_20day.
Past/history ____
Before 5_6 yrs B/L sole burning sensation and after sometime small nodule formation in all body.
Releif after treatment..
Bp_ normal