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

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 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.  ...
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A 39 year old man with fever since 10 days, cough and throat pain since 10 days.

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 A 39 year old man, who worked as a book store owner, presented to the hospital with- • Fever since 10 days, • Cough and throat pain since 10 days, HISTORY OF PRESENT ILLNESS • Patient was apparently asymptomatic 6 years back. • Pt usually woke up at 8am, eat breakfast by 9am, they would go to their business and have lunch at 1 pm while they are there. They would return back at around 7pm, have dinner by 9pm and retire for the night.  • One night, Pt suffered with fever and cold-like symptoms, which also caused his appetite to decrease considerably.  • They experienced severe backpain. • They went to washroom and while returning from there, they fainted.  • They visited a local hospital which diagnosed them with high creatinine levels. • They were kept on Dialysis since then. • For 4 years, they had no particular problems until they've eaten fish one day. • This caused patient to have bloodied feces. • They have noticed no urine output from this point onwards. • Pt. ...
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