1st internal assessment

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35 yr old female

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 35 years old female , daily wage worker  by occupation came presented with chief complaints of painful skin lesions on B/L upper and lower limbs since 2 months, fever and burning micturition since 4days.  Date of admission: 12/09/23 CHIEF COMPLAINTS  ➤ Painful  skin lesions over both hands and legs since 2 months .  ➤Fever since 4 days ➤Burning micturition since 4 days HISTORY OF PRESENTING ILLNESS Patient was apparently asymptomatic 2 months back. Then she developed complaints of painful skin lesions over the arms and the legs , which was sudden in onset , progressive , no aggravating and relieving factors . Vesicles later ruptured with purulent discharge Not associated with itching , fever and redness. Fever since 4 days coming on alternate day not associated with chills and rigor, diurnal variation, relieves with medication.  Burning micturition since 4 days. Not associated with increased frequency /urgency /hesitancy/decreased urine .  H/o de...
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vignesh

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  GENERAL MEDICINE CASE PRESENTATION Vignesh Roll no:- 05 3rd semester  This is online E log book to discuss our patient’s de-identified health data shared after taking his/her/guardian’s signed informed consent. Here we discuss our individual patient’s problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs.This e-log also reflects patients centered learning portfolio. ●Case scenario  A 49 yr old female patient came to opd with the chief complaints of Shortness of breath(SOB) -grade IV and worsening  History of present illness •SOB -5 to 6 months On exertion •Pedal edema and facial puffiness since 5 to 6 months •Red urine output •Fever -10 days -subside on medication-intermittent and low grade •cough with sputum since 10 days History of past illness •k/c/o Hypertension-1 yr Treatment History  Hypertension Treatment since 1 yr •Tem...
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CKD CASE

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CASE SCENARIO  Patient aged 62 yrs,toddy Tree climber by occupation came to opd with complaints Of loss of appetite and nausea since one week, Decreased urine output since 5 days And SOB on exertion and B/L limb swelling since a week HISTORY OF PRESENT ILLNESS Since a week pt has loss of appetite and nausea  SOB on exertion and B/L limb swelling since a week Decreased urine output since 5 days HISTORY OF PAST ILLNESS Pt was apparently normal 4 yrs back then he developed weakness and pain of bilateral limbs and on medication with pain killers on which the pain was not subsided then xray of spine was done and pt was diagnosed with Decreased bone density (OSTEOPOROSIS) Pt diagnosed with HYPERTENSION and on hypertensives Not a k/c/o of DM,CAD TREATMENT HISTORY  Pt was on hypertensives and had a tablet daily once PERSONAL HISTORY Irregular bowel habit Decreased urine output Mixed diet  Occasional alcohol drinker Had smoking habit PHYSICAL EXAMINATION  Patient is cons...
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