General Medicine Prefinal Assessment

 















Comments

Post a Comment

Popular posts from this blog

A 60 year old man with pedal oedema since 15 days, dypnea since 5 days, fever since 5 days.

Image
 A 60 year old man, who worked as a lorry driver, presented to the hospital with- • Pedal oedema of since 15 days, • Dyspnea since 5 days, • Fever since 5 days, • Decreased urine output since 3 days, Date of admission - 2/2/22 HISTORY OF PRESENT ILLNESS • Patient was apparently asymptomatic 15 days back. • Patient wakes up at 6am every morning. He has his lunch at 2pm. He sleeps in the afternoon. He has dinner at 9pm and sleeps by 10pm. •Patient is an ex lorry driver and lives a very sedentary life.  • 15 days ago, they developed pedal oedema of pitting type — which extended upto ankles. • They also presented with fever, which was continuous since 5 days. • Patient also presented with grade 4 shortness of breath since 5 days. • Vomiting of one episode which was non projectile 5 days back. • Patient also suffered with uncontrolled hemoptysis since 5 days back.  • 3 days ago, when the pt. was undergoing dialysis, the patient suffered from a cerebro vascular accident.  ...
Read more

A 65 year old woman with vomiting, stomach ache since 20 days.

Image
A 65 year old woman presented to the hospital with the complaints of- • vomiting • stomach ache -since 20 days HISTORY OF PRESENT ILLNESS. A 65 year old married woman and a mother of 4, who was an occasional alcoholic, who was a homemaker, was apparently asymptomatic before 20 days. Her daily routine included waking up at 6am, cooking food for her family, separating rice grains from rice chaff, having food and sleeping in the afternoons. Whenever she could afford, she used have alcohol. 20 days back, there was a suddenly onset of stomach pain and vomiting. The vomiting was not projectile in nature, based on the information provided by the patient. This caused her great distress and considerably decreased her appetite. She went to a hospital in Nalgonda few days back. She was referred to Kamineni and has been admitted here for 11 days. PAST HISTORY • The patient underwent no surgeries in the past.  • There is no history of Tuberculosis, Diabetes Mellitus, Hypertension, Epilepsy, A...
Read more

A 60 year old man with reduced micturition and defecation since 2 months.

Image
 A 60 year old man, who works as a coolie, presented to the hospital with- • reduced micturition and defecation since 2 months. • burning sensation on micturition since 2 months. HISTORY OF PRESENT ILLNESS • Patient was apparently asymptomatic 2 month back. • The patient is a retired coolie who does nothing of significance in the day. • He wakes up at 6am, roams around his village, settles disputes, and retires for the night at around 10pm. • 2 weeks after Dusshera (2 months back), patient suffered with a dizziness spell and cough which he attributes to "cold". • Patient was taken to an ENT specialist who ruled him clear of any problem. • The very same day, the patient noticed an acute decrease in his urination and micturition. • When patient was taken to the hospital in Nakrekal where he was diagnosed with Renal failure.  • He was put on Maintainance Hemodialysis since then. • Patient recollects that after 5 days of dialysis, patient's micturition and defecation was som...
Read more