General medicine 1st internal assessment

 Name- A. Sadha sivaram

Roll No- 07

General medicine assessment


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GENERAL MEDICINE CASE PRESENTATION    A 70 yr old male agriculture by occupation was brought to causality in an unconscious state since yesterday. CHIEF COMPLAINT:  Fever since 3 days  Abdominal pain since 3 days HISTORY OF PRESENT ILLNESS: *  Patient was apparently asymptomatic 1 week back after which he started Binge drinking for 2 days. *He developed Fever that last for 3 days and developed Abdominal pain Burning type both for which he was treated by local Doctor. * After that he developed weakness which is gradual in onset and was unable to stand for which he was admitted to local hospital where he was diagnosed to have DENGUE FEVER (through NS1 ANTIGEN Positive) and the Platelet Count was 24,000.  PAST HISTORY: *Patient is a known case of Chronic Alcoholism since 30 years and increased his intensity since last 3 years.  *smoking since 20 yrs, average 2  beedi per day TREATMENT HISTORY: * No Past history of treatment  PERSONAL HISTORY: * He is a chronic alcoholic since 30 years  *
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GENERAL MEDICINE CASE PRESENTATION

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                                                  NAME- A.S.SIVARAM                                                   ROLL NO- 07   ● INTRODUCTION   A 45 yr old male is chronic alcoholic since 20 yrs carpenter by occupation was brought to causality in a state of altered sensorium since 1 day. •CHIEF COMPLAINTS   •Difficulty in walking And decreased appetite since 15 days •Constipation since 5 days •Fever and pedal edema since 3 days •Vomiting since 2 days • HISTORY OF PRESENT ILLNESS •Patient was apparently asymptomatic 6 months  Back until he had b/l pedal edema. he has diagnosed with hypothyroidism  •Patient had difficulty in walking and decreased appetite since then. •H/o constipation since 5 days. •Fever - low grade , intermittent , relived with treatment since 3 days. •B/l pedal edema - pitting , extending upto knees since 3 days. •Vomiting - non bilious , non projectile , associated with food particles since 2 days. •Altered sensorium since 1 day. •Not a k/c/o DM/HTN/Asthma/Epile
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CVA case

  A 70 years old male farmer by occupation presented to the casualty with complaints of weakness of right upper and lower limb with  inability  to talk since yesterday (8/9/23) Date of Admission: 08/09/23 CHIEF COMPLAINTS   Weakness of right upper and lower limb since 5 days. Inability to talk since 5 days. HISTORY OF PRESENTING ILLNESS   Patient was apparently asymptomatic since 5 days back and then speech got slurred while having lunch.He developed marked weakness in right upper and lower limbs.   Next day weakness persists and he was not able to talk so they brought to the hospital.  Weakness was sudden in onset non progressive. No aggravating or relieving factor. Slurring of speech was sudden and progressed to inability to talk.  H/o Drooling of saliva  H/o hiccups  No h/o deviation of mouth  No h/o involuntary movements, bladder and bowel incontinence  No h/o loss of consciousness  No h/o breathlessness , cough, fever, palpitation, reduced urine output and vomiting.  HISTORY OF PA
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