GENERAL MEDICINE SECOND INTERNAL ASSESSMENT

GENERAL MEDICINE SECOND INTERNAL ASSESSMENT


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GENERAL MEDICINE CASE STUDY

 A male pt aged 50yrs a resident of Miryalguda  farmer by occupation was brought  to OPD by his son in law. Cheif complaints           Shortness of breath            Burning micturition           Headache            Throat pain  History of present illness   H/o shortness of breath since 1 yr H/o headache since 20days( occipital region) H/o neck pain since 1 yr. H/o throat pain since 4days(pricking type) History of past illness No H/o DM,Tb, Epilepsy,CKD, cardiovascular accidents. Cerebrovascular accident 25 yrs back. H/o previous medication (joint pains, headache,neck pain, shortness of breath) No H/o previous hospitalization. Family History His mother has Sob Personal History Married Occupation-farmer Appetite-normal Diet-mixed Sleeping habits:He has sleep alterations due to painsand discomfort. Bowel- regular Micturition- burning No H/o allergy Addicti...
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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...
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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 medicatio...
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