General medicine 1st internals

 



































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GENERAL MEDICINE ASSESSMENT

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  I am  P. Sri Chandana, MBBS 3rd semester, Roll. No: 98.  QUESTION 1:           CASE 1: NEUROLOGY              https://143vibhahegde.blogspot.com/2021/05/wernickes-encephalopathy.html                       A 40 year old male with cheif complaints of irrelevant talking and decreased food intake.       - HISTORY:             • 2 - 3 episodes of seizures, 1 year ago and                4 months ago.             • Short term memory loss since 9 days.             • Type 2 diabetes since 2 years.             • No history of hypertension, CAD, TB,                Asthma.              • Alcoholic since 12 years, Smoker. ...
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GENERAL MEDICINE CASE BLOG

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 A 65 year old male came admitted in hospital  for regular daislysis . Chief complaints: Facial puffiness, pedal odema,shortness of breath  History of presenting illness:- Patient was apparently asymptomatic 2 yrs back The he suddenly developed fever,generalised weakness for which he visited local hospital. After examination and investigations done  Patient was diagnosed with hypertension and renal failure and was referred to another hospital in Hyderabad. There he was treated with medications and patient was almost normal for an year and continued his daily activities. After 1 yr patient stopped his medication and started consuming alcohol and toddy. Then he developed symptoms of fever,severe facial oedema ,pedal oedema ,hypertension,shortness of breath,cough,oliguria,loss of appetite. Now he again revisited the hospital in Hyderabad after examination and investigations he was diagnosed with complete renal failure and suggested to get dialysis done . Patient came to...
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A 60 yr old housewife with h/o Hypocalcemia, Hypokalemia and renal stone complaining of developing nearsightedness

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   This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs. This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box is welcome. SRI CHANDANA  Roll no: 98 8th semester  The patient is a 60-year-old housewife. In 2013, she had an episode of probable stroke followed by nausea, vomiting, diarrhea, weakness, fatigue with loss of appetite, and insomnia. Her legs felt numb. She lost sensation around neck.  CHEIF COMPLAINTS: 14 days ago, when making lemon juice, some of it went in her rt. eyes. Due to irritation and burning sensation, also inability to see far objects clearly(nearsightedness) w...
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