35yrs old man with tuberculosis since 1yrs

35yrs old man with tuberculosis since 1yrs..

Occupation- farming

Present complain- tuberculosis since 1 month and breathlessness ..fever since 1 month ..body pain and weakness since 1.5 months ..stomach pain occasionally ..
Tongue- OK
Apetetite- OK
Thrist- OK
Stool- OK
Urine- OK
Gait- OK
No smoke
Take liquor at age of 22 year and left before 2 months ..
BP- 130/90mg/dl
Pulse- 80/min
RR- 22/min
Past complain - patient feel weakness and more coughing since at least 1 month ..the patient went to a Hospital and investigation is of .TB..and less volume of blood ..doctor prescribed the 3 mdcn doses and patient can not have relief then patient came in this Hospital ...
Investigation- sputum AFB ..xz
Chest x ray ..PA view
CBC-PS
Urine RM
LFT/RFT
Fever charting ..
Treatment- nebulization

30yrs old man with left illiac pain since 2yrs

30yrs old man with illiac pain since 2yrs.

Occupation- JCB operator .
Present complain- left illiac pain continuously ..since 2 years ..legs pain at standing sometime and tingling sensation when stand long time since 1 year ..
Tongue- OK
Apetetite- OK
Thrist- OK
Stool- OK
Urine- OK..slow occasionally and burning sometime..
Vegetarian or non vegetarian..
Gait- OK
BP- 120/65mg/dl
pulse- 74/min
RR- 21/min
GC- stable ..
Past complain- before 2 years ago patient have a severe pain in left and right side illiac pain ..the patient is treated by the Hospital and in investigation the ..Renal Stone ...is come of 9mm in both of kidneys and then the patient take ayurvedic desi treatment patient got relief at one year by this treatment but before 1 year patient have pain again ..the patient went to doctor and investigation is ..renal stone ..only in left side kidney ..Dr. give the medicine of 1.5 month to patient and patient got relief ..when patient dont make the sexual relation until in one week the patient have complain of whitish discharge since 20 years ..patient feel better after marriage ..and before 4-5 days patient have a severe pain in right illiac side and patient came in this Hospital ..
Investigation- .USG(abdomen and pelvis )done
Urine RM
CBC
LFT/RFT
Serum calcium