GM case discussion

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74 Yrs old female patient

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A female patient aged 74 yrs came to the OPD with chief complaints of fever ,shortness of breath ,and she had altered sensorium. Chief complaints Fever ( 7 days) Shortness of breath(4 days ) Altered sensorium ( 2-3 days) History of present illness She was admitted to hospital by her family due to loss of consciousness,fever,loss of speech and altered sensorium. History of past illness She was diagnosed with heart disease and renal failure  She had pedal edema which is of pitting type  N/k/c/o diabetes mellitus, hypertension,TB, epilepsy,no previous surgeries. She is a known case of asthma using inhalers ( duration not known) Personal history She is married Diet : mixed Bowel and bladder movements: normal  Appetite: normal No allergies No addictions Drug history: used pain killers for pain and swelling of lower limbs General examination  Palor No cyanosis No icterus No clubbing of fingers Pedal edema present ( pitting type )  Moderately built No Lymphadenopathy...
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19 Lavanya blog spot.case study

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B.Lavanya  Roll no 19  This is an online e - log platform to discuss case scenario of patient with their guardian's permission  * CASE SCENARIO :  A 75 yr old male patient resident of Suryapet came to causality with cheif complaints of breathlessness  Complaints and duration :  CKD  Pedal edema  Facial puffiness since 3 days  Shortness of breath  History of present illness :  No h/o present illness  History of past illness :  CkD on MHD ( analogue to nephropathy )  Treatment history :  No h/o Diabetes  No h/o CAD  No h/o asthma  No h/o tuberculosis  Hypertension is present ;  H/o blood transfusion (1) and surgery (1) Personal history :  Loss of appetite  Bowel movements are regular  Micturition is abnormal  No unknown allergies are seen  Family history :  No H/ o of diabetes , hypertension , stroke,  cancer , Tb, asthma . General examination :  Pati...
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19 Lavanya

19 lavanya    july - 03 -2021 bimontly blended assessment for june 2021   i have been given the following formative assesment for bimontly blended assessment for june 2021 this is the link regarding assessment   https//generalmedicine department .blodspot .com/2021/06/bimontly-formative3 and summative _19.html?m=1  question ::peer review  case :https ://avulanikhil09.blog .com  Question ;could chronic alcoholism have aggraveted the foot ulcer formation ? if yes and why ?  the answer for vthis explained is true and due chronic alcoholism and deminished immune response leads to ulcers  case  : https blendedasessmentmadhur .blogspot   kuma diagnosis inferior wall mi with uncontrolled sugars and dm since 8yrs chest pain since 3 days   what is the symtomology in the patient in terms of an event and where is the anatomical localization for the problem and the etiology of patient problem ?  giddiness since mor...
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