Paper -2 general medicine .prefinal examination
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A CASE OF 42YEAR OLD MALE k.swarnamukhi -1601006100
42Year old male presented with complaints of, Abdominal pain since 4 Days Decreased urine output since 4 Days Constipation since 4 Days Vomitings since 4 Days History of presenting illness: Patient was apparently asymptomatic 4 Days back then he complained of abdominal pain which is diffuse associated with vomitings which is bilious, non-projectile, greenish in color, associated with constipation, passed stools 3Days back. Patient also complained of decreased urine output since 3Days. There is a history of continuous alcohol consumption since 10 Days without intake of food. Stiffness of joints yesterday night. No loss of consciousness, giddiness, fever. Past History: Not a Known case of DM, HTN, Asthma, Epilepsy, CAD, CVA. PERSONAL HISTORY diet : mixed Appetite : decreasd since 10 days Sleep : addequate Bowel habits:irregular bladder habits:regular addictions :- h/0 of alcoholic intake since 30 years (sara) FAMILY...
22 YEARS OLD MALE WITH DENGUE FEVER
A 22 year old male came with complaints of Fever with chills,Headache ,Lower back pain,Generalised body pains,Cough with expectoration since 5 days. HOPI: Patient was apparently asymptomatic 5days back and then developed fever associated with chills (high grade) intermittent with evening rise in temperature associated with headache(frontal) and cough which is productive (white colour) and generalised body pains. PAST HISTORY: Not a K/C/O DM, HTN, TB,EPILEPSY, ASTHMA PERSONAL HISTORY: He is Single and Car driver by occupation. He consumes Mixed diet sleep is adequate Appetite normal bowel and bladder movements are regular He used to Consume Alcohol occasionally. FAMILY HISTORY: no similar complaints in the family. GENERAL EXAMINATION: Patient is conscious , coherent and cooperative and well oriented to time place and person, Moderately built and moderately nourished. VITALS: BP: 120/80mmhg PR: 84 RR: 18 Temp: 99.5f SYSTEMIC EXAMINATION: RS...
22 YEARS OLD MALE WITH DENGUE FEVER
22 year old male came with complaints of Fever with chills,Headache ,Lower back pain,Generalised body pains,Cough with expectoration since 5 days. HOPI: Patient was apparently asymptomatic 5days back and then developed fever associated with chills (high grade) intermittent with evening rise in temperature associated with headache(frontal) and cough which is productive (white colour) and generalised body pains. PAST HISTORY: Not a K/C/O DM, HTN, TB,EPILEPSY, ASTHMA PERSONAL HISTORY: He is Single and Car driver by occupation. He consumes Mixed diet sleep is adequate Appetite normal bowel and bladder movements are regular He used to Consume Alcohol occasionally. FAMILY HISTORY: no similar complaints in the family. GENERAL EXAMINATION: Patient is conscious , coherent and cooperative and well oriented to time place and person, Moderately built and moderately nourished. VITALS: BP: 120/80mmhg PR: 84 RR: 18 Temp: 99.5f SYSTEMIC EXAMINATION: RS: ...
A 30 YEAR OLD FEMALE.
A 30 year old female came to hospital with CHEF COMPLAINTS OF: Facial puffiness ,pedal edema since 3months. &Sob since 2days. HISTORY OF PRESENT ILLNESS: Patient was asymptomatic 3months back then she developed facial puffiness and bilateral leg swelling pitting type PAST HISTORY: Known clinical history of -chronic renal failure & hypertension. TREATMENT HISTORY: Using antihypertensive medications since 4yrs. FAMILY HISTORY: mother also have hypertension. PERSONAL HISTORY: -Married, house wife Appetite-normal ,sleep: inadequate Diet: veg Bowel and bladder: normal Known allergies:no GENERAL EXAMINATION: Patient is conscious, coherent, cooperative. -pallor on hands No icterus No clubbing, cyanosis Edema of both legs. VITALS: Temp-98.3c/f BP-110/80mm/hg PR-92bpm SP02-98% GRBS-104mg% CVS: -SIS2 HEARD RESPIRATORY SYSTEM: -BAE PROVISIONAL DIAGNOSIS: CHRONIC KIDNEY DISEASE Plan of care: hemodialysis INVESTIGATIONS: TREATMENT: Inj-epo 4000i.v s/c weekly Tab:Lasix 40mg po/...