General medicine 1st internal assessment

 Name- A. Sadha sivaram

Roll No- 07

General medicine assessment


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 GENERAL MEDICINE CASE PRESENTATION  A 45 yr old female agriculture by occupation was brought to the casualty. CHIEF COMPLAINT:  Abdominal pain  Vomiting Fever Burning micturition Cough SOB HISTORY OF PRESENT ILLNESS:- * Patient was asymptomatic before 3 days after which she developed abdominal pain ,vomiting ,fever associated with cough ,Burning micturation for the past 3 days.After which she developed SOB ( grade 2-3), pyelonephritis  and  came to casualty in our Hospital. PAST HISTORY:- k/c/o HTN since 1 yr. NOT k/c/o Diabetes,TB PERSONAL HISTORY:- * Alcohol intake occasionally. *Bowel and Bladder movements are Normal. FAMILY HISTORY:- *No Familial History. GENERAL EXAMINATION:- *No icterus and pallor. *Pedal edema is present. * No lymphadenopathy  ON EXAMINATION:- BP: 100/70 mm Hg PR: 86bpm Temperature: 98.6 F RR: 18cpm SpO2: 92 % INVESTIGATIONS:- CBP:- Serum Electrolytes(Na,K,Cl): - Blood Urea:- Blood Sugar-Random:-   LFT:- Serum Creatinine:-...
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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, ...
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GENERAL MEDICINE ASSIGNMENT - JULY 2021

                                   NAME- A.S.SIVARAM                                                ROLL NO- 07 Below is the link of assignment given for us, medicinedepartment.blogspot.com/2021/07/medicine-paper-for-july-2021-bimonthly.html?m=1 QUESTION (1) https://06anvithareddy.blogspot.com/2021/07/06-anvitha-reddy.html?m=1 Review to all the questions answered: She has done 10 cases,In each case she given a best review which was very helpful for us to understand the case details. She gone with good investigations and given a better explanation for every case and she followed steps in investigations. she gave grades for each case. She did nice but a little more explanation is needed which I felt except that everything was good. My overall review about the cases she done is very...
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