General medicine 1st internal assessment

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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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General medicine assignment

CARDIO(A).                                                    1.What are the possible causes for heart failure in this patient? ANS: obesity  alcohol diabetes hypertension 2.what is the reason for anemia in this case? ANS:   Alcoholics frequently have defective red blood cells that are destroyed prematurely, possibly resulting in anemia. Alcohol also interferes with the production and function of white blood cells, especially those that defend the body against invading bacteria. Consequently, alcoholics frequently suffer from bacterial infections. 3.What is the reason for blebs and non healing ulcer in the legs of this patient? ANS: The pt. had recurrent blebs and ulcer on lower limbs (foot). This is due to Type to diabetes mellitus. Diabetic foot ulcers generally arise as a result of poor circulation in the foot region. While high blood sugar ...
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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.

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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...
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