Vinila Bhavani .K General medicine answer sheet

















 

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K Vinila Bhavani

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 65 yr old female patient , who is a daily wage labourer came to casualty in altered state  with complaints of : Episodes of slurring of speech since 1 day  Profuse sweating that resolved on having food. Patient was asymptomatic till yesterday 4 pm . patient was brought to casualty in uncounsious state   HISTORY OF PRESENT ILLNESS : Patient has no involuntary movements . Patient has history of sweating and snoring . HISTORY OF PAST ILLNESS : In 2014 patient was discovered with GIST - gastrointestinal stromal tumour on histopathological examination.  In 2016 patient was found to be Mets+ve and was treated with anticancer drugs . In 2019 he was again found to have Mets 16mm in liver . Eye movements1, verbal1, motor4  PERSONAL HISTORY : Diet - mixed  Apetite - normal Bowel movements - regular  Micturition - normal Patient use to drink alcohol occasionally . THERE IS NO RELEVANT FAMILY HISTORY . Patient was having diabetes . VITALS  Pallor - yes...
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Hi this is Vinila Bhavani a 3rd sem Student

 Hello , this is Vinila Bhavani roll no 57, 3rd sem Student.    This assignment has been given to me to check the ability to connect and capture patient centered data and to engage in learning with peers.     This link has been given to us : http://medicinedepartment.blogspot.com/2021/07/2019-batch-medicine-department-online.html?m=1 Question 1  I have gone through the assignment of my frnd Mahendra roll no 56 -My friend has mentioned all the Symptoms , diagnosis and  chief complaints of patient along with his treatment details . -He has mentioned all the insights in detail  2)He discussed cases of interns that were given to him  - He didn't get a chance to make a blog . 3) He discussed clinical case of acute kidney injury and chronic kidney disease with uraemic encephalopathy .. He mentioned the Diagnosis as hypertensive nephropathy and the reason for this was glomerular ischaemia and glomerular hyperfiltration and the patient in this case w...
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CHIEF COMPLAINTS: A 54yrs old female who is a housewife from Nalgonda came to opd with chief complaints of SOB since 2days and generalised weakness. HOPI: Patient was apparently asymptomatic  8 months ago then she developed SOB which is insidious in onset and continuous in nature which aggravates on walking and also on lying down.It gets relieved on sitting position [grade 3 SOB].It is also associated with dry cough.She also has genearalised weakness and also fever since 8months which is intermittent in nature. She consulted a local doctor in Nalgonda from where she got to know that she has low Hb levels for which she underwent blood transfusion and again back in July her Hb levels were found low[5.0g/dl] and again she underwent blood transfusion[2units] after which her Hb levels increased from 5.0 -8.0g/dl.She again developed SOB and generalised weakness since 2days for which she again consulted a local doctor in Nalgonda and got her tests done. ...
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