GENERAL MEDICINE FIRST INTERNAL PAPER

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General medicine E-log

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  58 yr old with stroke November 28, 2023 58 year old male construction worker by occupational came with chief complaints of Burning sensation at right upper half of the body since 2years History of present illness Patient was apparently asymptomatic 2years than one night he suddenly  complained  of loss of vision in both eyes and he developed weakness of right upper limb and lower limb and deviation of mouth to left side which is sudden in onset preceeded by 30-40 episodes of vomiting non-bilious , non-blood tinged, projectile which was associated with involuntary movements of both upper limbs and lower limbs , associated with frothing , tongue bite , outward fixation of left eye ball. After which patient went into coma for 3 months . He was taken to rk hospital Hyderabad treated there for 15 days than was brought back home . He was later taken to Khammam for treatment 3 times in a gap interval of 10 days still patient dint recover . Later they used some herbal medication and he regai
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GENERAL MEDICINE CASE STUDY

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A 75 yr old male patient who is resident of nalgonda labourer by occupation came to our hospital for eye surgery  CHIEF COMPLAINTS: Loss of vision-left eye Itching all over th body HISTORY OF PRESENTING ILLNESS:  Patient has loss of vision in his left eye since one yr..he has itching all over the body since two months. HISTORY OF PAST ILLNESS: Patient was apparently asymptomatic 10 years back.Later,he developed deformities in his lower limbs(resorption and clawing of all the toes).he also lost all his senses(pain ,touch, temperature, vibration).he had hyperflexion of DIPJ nd hyperextension of PIPJ since 2-3 months .There is burning sensation allover his body. FAMILY HISTORY:     No history of DM HTN EPILEPSY asthma cardiovascular disease in his family PERSONAL HISTORY:  Mixed diet Married Normal bowel and bladder movements Abnormal sleep patterns No addictions GENERAL EXAMINATION: PHYSICAL EXAMINATION: No pallor  No icterus No cyanosis No lymphadenopathy No pedal edema Wasting of muscl
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