Paper -2 general medicine .prefinal examination







 

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1601006100-short case

29YEAR OLD FEMALE WITH SOB, EDEMA,FACIAL PUFFINESS. PATIENT CAME TO CASUALITY WITH cheif complaints of - B/L PEDAL DEMA - 20 DAYS FACIAL PUFFINESS - 20 DAYS BREATHLESSNESS - 1 DAY  HOPI: PATIENT WAS APPARENTLY ASYMPTOMATIC 10 YEARS BACK THEN WAS DIAGNOSED WITH DM-1 AND IS ON INSULIN MITARD (20U-X-16U).                 -SHE HAD 2 EPISODES OF WEAKNESS, UNCONTROLLED SUGARS FOR WHICH SHE WAS ADMITTED FOR A DAY &DISCHARGED ( 1ST EPISODE 5YEARS BACK AND 2ND EPISODE 3 YEARS BACK RESPECTIVELY).                                     -.ON NOV 2022 PATIENT WAS TAKEN TO GOVT HOSPITAL I/v/O SOB AND WAS DIAGNOSED WITH DENOVO HYPERTENSION, UNCONTROLLED SUGARS ( STARTED ON ? HTN MEDICATION).                            -.ON 2ND JAN 2023, SHE HAD EPISODES OF VOMITINGS, LOOSE STOOLS AND WAS ADMITTED IN AIIMS & WAS DIAGNOSED WITH   DIABETIC NEPHROPATHY, HTN ,VIT D DEFICIENCY .       Hyperpigmented lesion on right foot.                                                                      -6 DAYS BACK
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1601006100 long case

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 53 YR OLD MALE WITH B/L PEDAL EDEMA.                June 12,2023. This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. CASE:- A 53 year old male who owns a hotel by occupation,came to the opd with  CHEIF COMPLAINTS: C/O of bilateral pedal edema since 20days. C/O of decreased appetite since 20days . HISTORY OF PRESENT ILLNESS: patient was apparently asymptomatic 20days back then developed bilateral pedal edema pitting type extending upto the knee , insidious in onset gradually progressive since one week  ~facial swelling since 7days  ~yellowish di
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