General medicine 1st internal examination










 













 







 






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 A 60 year old female resident of thakkellapally who is a housewife came with the complaints of fever since 10 days nausea and vomiting since 10 days and productive cough since 10 days  History of present illness  Patient was apparently asymptomatic 10 days back then she developed fever which is insidious in onset ,continuous with no diurnal variations and not associated with chills and rigors ,relived on medication ,no history of headache history of vomiting and nausea since 10 days almost 2 times a day which is non projectile, non bilious with loss of appetite  Complains of Bilateral knee pain for which she is taking NSAIDS since 5 years,no history of other body pains Cough with expectoration with mucoid sputum and associated with pain in back while coughingk No History of burning micturition ,loose stools, pain abdomen ,pedal edema,chest pain, Shortness of breath, palpitations  Past history Not a known case of diabetes ,hypertension ,asthma ,epilepsy,coronary...
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   A 50yr old female resident of suryapet came to the op with chief complaints of  back pain Fever  Bilateral pedal edema  Puffiness of face History of present illness Patient was asymptomatic 6months back then she developed the back pain ,fever and pedal edema Past history k/c/o HTN since 7yrs Medication not known No History of DM,TB, epilepsy Personal history Appetite - decreased Diet- mixed Sleep-inadequate No addictions Bladder movements are normal  But she has c/o constipation Family history No significant family history General examination No icterus, pallor,cyanosis,clubbing,lymphadenopathy Bilateral pedal edema and facial puffiness are present Vitals BP 180/110mmhg Pulse-88 beats/min Temp-97°F RR -18 CPM Systemic examination RS :B/L inspiration crestfallen over lung fields CVS:S1 and S2 are heard, no murmurs CNS:No focal deformities Investigations Haemogram Hb: 7.5gm/dl TLC:7800/cumm PCV:23.3 RCB:2.6million /cumm PLT:1.54lakh/cumm RFT urea:46mg/dl C...
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General medicine assignment

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 V.Ujwala  Roll no 137 General medicine bimonthly assignment  I have been given the following assignment to analyze , and review, in an attempt to understand the topic of 'Patient clinical  data analysis' to develop my competency in reading and to comprehending clinical data including history,  clinical findings, investigations and diagnosis,   This is the link of questions asked in the bimonthly assignment: https://generalmedicinedepartment.blogspot.com/2021/06/bimonthly-formative-and-summative_19.html?m=1 Here is my review of case histories which I had gone through Question 1 Neurology   Review https://143vibhahegde.blogspot.com/2021/05/wernickes-encephalopathy.html Case I have given the case of a person with wernickskorsekoff syndrome who is chronic alcoholic.He had two episodes of seizures .After his last alcohol started talking and laughing to himself. unable to getup by himself from bed  he is conscious  but not coherent. KINDLING ALCOH...
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