General medicine 1st internal assessment

Popular posts from this blog

A 20 YEAR OLD FEMALE c/o neck pain since 3 days c/o headache since 1 day, c/o vomiting since 1 day.

Image
A 20 YEAR OLD FEMALE C/o neck pain since 3 days C/o headache since 1 day. C/o vomiting since 1 day. HOPI :  Patient was apparently alright 3 days ago and then she had a B/L pitting type of pedal edema extending till knee, which was relieved on taking medication, later on she developed fever and hyper pigmented macules on the face, fever was high grade. Later she developed pitting type of pedal edema, Dry cough, abdominal distension, decreased appetite, decreased urine output. All her complaints subsided after she was treated. She was normal till 3 days. Then she developed neckpain, non radiating type and headache since 1 day. Past history : Not a k/c/o HTN, DM, ASTHMA,TB EPILEPSY, CAD. K/c/o SLE. She is on medication : 1)TAB.HCQ 200 MG PO/OF 2)TAB.AZATHIOPRIME 50 MG PO/BD 3) TAB.PREDNISOLONE PO/BD Personal history : Diet- Mixed Appetite- Decreased Bowel and Bladder movements- Decreased Family history- Not significant. O/E : patient is c/c/c. No pallor, No...
Read more

General medicine assignment

Image
  I Pranay kumar, roll no.32 o f 8th semester  have been given the following cases 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 diagnosis and come up with a treatment plan. LINK TO QUESTIONS REGARDING CASES : http://medicinedepartment.blogspot.com/2021/05/online-blended-bimonthly-assignment.html?m=1 PULMONOLOGY https://soumyanadella128eloggm.blogspot.com/2021/05/a-55-year-old-female-with-shortness-of.html 1) What is the evolution of the symptomatology in this patient interms of an event timeline and where is the anatomical localisation for the problem and what is the primary etiology of the patient's problem? Ans :- Evolution of symptomatology      • 1st episode of sob - 20 yrs back      • 2nd episode of sob - 12 yrs back Then onwards, she has been having yearly ...
Read more

A 62 year old Male, c/o 4-5 episodes of involuntary movements of both upper limbs and lower limbs since morning on 20/10/2022.

Image
Chief complaints: Pt c/o involuntary movements since morning 6-7 episodes since morning .  c/o uprolling of eyes.  HOPI:  Pt was apparently asymptomatic till morning. Then he had an episode of involuntary movements of both UL and LL at 6:30AM on 20/10/2022,which lasts  for 4-5 minutes with up rolling of eyes. Not ass with vomiting, involuntary micturition, defecation and no post ictal confusion.  No froathing,no tongue bite during the episode.  He had 5-6 similar episodes till afternoon . No developmental delay.  Past history: K/c/o HTN since 4-5 years Not a k/c/o DM, HTN, ASTHMA, CAD. No history of similar complaints in the past.  H/o surgery 4months back for? Intestinal ulcer and he stayed in hospital for 20 days.  Personal history: Diet- mixed Appetite-normal Bowel and bladder movements- regular. Addictions- He used to consume 90ml of whisky per day for the past 40 years. But he stopped consuming it 4 months back.  Allergies- none Gen...
Read more