Prefinal medicine paper -2
2nd internal paper
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55 yr old male with polycystic kidney disease
55 Yr old male, granite cutter by occupation presented to casualty due to swelling of both the feet. Chief complaints: Swelling of both the feet and shortness of breath from past 2 months. 𝓗𝓲𝓼𝓽𝓸𝓻𝔂 𝓸𝓯 𝓹𝓻𝓮𝓼𝓮𝓷𝓽𝓲𝓷𝓰 𝓲𝓵𝓵𝓷𝓮𝓼𝓼 : Pt. Was asymptomatic 3 months back then he developed " wet cough ". ( on and off type) 2 months back he developed shortness of breath while doing work. It was aggravated by work and not relieved by meds. He also had pedal oedema ( non pitting type) and facial puffiness since 2 months. No h/o blood vomiting, no h/o fever. Past history: He got his right eye hit by a hard stone due to which he lost his right eye vision permanently. He's not a known case of TB/ DM / ASTHMA / epilepsy. Personal history: Mixed diet -Reduced appetite Adequate sleep -Irregular bowel movements -Consumes Alcohol and tobacco from past 30 years. -Pt. has Burning m...
65 year old with multiple ulcers over body
THIS IS AN 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 CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT Chief complaints: 65 Yr old male came to opd with Chief complaints of itching followed by blebs formation and spontaneous rupture, ulcers present on both the hands HISTORY OF PRESENTING ILLNESS: Pt. Was apparently asymptomatic 2 months back then he developed itching all over the body since 2 months. History of painful ulcers over the rt side of Abdomen which healed on taking medication. History of shortness of breath since 1 month. History of loss of appetite since, reduced urine output and pedal oedema since 10 days. No history of fever Past history: No history of HTN and DM ,Tb, asthma, thyroi...
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