General Medicine Prefinal Assessment

 















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A 64 year old woman with SOB, decreased urine output since 3 days.

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  A 64 year old woman, who is a farmer by occupation, presented to the hospital with- • dry cough since 6 years • SOB since 3 days • decreased urinary output since 3 days. Date of admission - 2pm, 16/08/21. HISTORY OF PRESENT ILLNESS • PT was apparently a symptomatic 6 years back. • PT started getting intermittent cough since then.  • She wrongly self-diagnosed herself with Tuberculosis and started using her husband's TB medication on SOS basis.  • The patient also took medication to manage pain on SOS basis.  • Her intermittent cough turned persistent over the last 3 months and got admitted to a hospital ( in their mandal) suspecting it was Covid19. • The hospital later diagnosed her with kidney failure and DM. • The doctor who prescribed the medications for her kidney failure 3 months back, was not aware of the other medications she was taking (TB medications). • The patient joined the current hospital on the basis of referral.  • 3 days back, the pati...
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A 65 year old woman with vomiting, stomach ache since 20 days.

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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...
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A 57 year old man with generalized swelling in his legs since 10 days.

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A 57 year old man, who works different jobs for wages, hailing from Miryalaguda presented to the hospital with- • generalized swelling of legs since 2 days. Date of admission - 7/10/21. HISTORY OF PRESENT ILLNESS • The patient was apparently asymptomatic two years back. • Patient noticed swelling in their legs one and a half year ago. • They visited a hospital in Miryalaguda who diagnosed the patient with Chronic Kidney Disease. • The hospital instructed the patient to start dialysis. • The patient starts dialysis but the pandemic ensues leaving patient and their family in financial weeds. • In mid 2020 the patient decides to stop going for dialysis for 8 months. • At home, the patient usually wakes up by 7am. They do not work or participate in the household activities.  • The patient then sits out of the house in the sun till lunch.  • After lunch patient sleeps; to wake up after 2 hours. • The patient then gathers with their friends and talks to them till it's time for dinne...
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