General medicine 1st internal assessment

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

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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...
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General medicine assignment

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  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 ...
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A 45 yr old male c/o fever since 5 days.Abdominal pain , loose stools and vomitings since yesterday.

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CHIEF COMPLAINTS   :    A 45 yr old male c/o fever since 5 days, abdominal pain , loose stools and vomitings since yesterday. HOPI : patient was apparently asymptomatic   5 days ago and then developed fever, which is low grade, not associated with chills and rigors and relieved on medication. He complains of diffuse pain abdomen since 11th October morning. He had 3-4 episodes of vomiting on the same day evening, food particles as content and non- bilious in nature .He had loose stools since evening the same day, which is of 5 -6 episodes and so he went to local hospital. He developed weakness of both upper and lower limbs and found to be having low potassium, correction was done and the weakness got improved. He now came with c/o abdominal pain , vomiting and loose stools. PAST HISTORY Not a k/c/o DM, Hypertension, Asthma, epilepsy, CAD, CKD.  He went for a General checkup 6yrs ago, where he was diagnosed as HIV posi tive. He was on ART .  He met with...
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