second internal examination

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A 32 year ald male

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 complaints: Patient complaining of decreased appetite since 10 days , fever since 10 days Vomiting since 7 days associated with pain in abdomen, History excessive alcohol intake since 1 month , aggrevated since last 7 days Loss of weight since 10 days  No H/O fever and lose stools History of presenting illness :  Patient is asymptomatic 10 days back then he had loss of appetite and took no food since then and had excess of alcohol . He developed low grade fever 10 days back , sudden in onset , low grade , intermittent , relieved on medication, associated with rigors , no sweating and no evening rise of temperature. Vomiting since 7 days back , multiple episodes in a day like every 1 hour , bilious, Foul smelling, non projectile , not associated with abdominal pain , no headache, no diminision or blurring of vision . Past history:  No history of Diabetes mellitus, Hypertension, TB , Asthma and No history of any cardiovascular disease History of 2 episodes of admissio...
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65 year old male

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Chief complaints :  65 year old male with chief complaints with unable to walk since 3 months , muscle stiffness since 20 days , decreased appetite since 15 days . Unresponsiveness since 3 days.  History of presenting illnesses: Patient is apparently asymptomatic 1 year back then developed unbalanced gait,insidious in onset and visited a hospital ,6 months ago and was said to be having a neurological disease (no documents available) and have been using medication since then(not known)and was having generalised weakness on and off since 6 months and due to fear of falling and as he is feeling pricking sensation over the sole,and due to decreased power in his limbs and generalised weakness he completely stopped walking  and was bed ridden since 2 months(he didn’t tried walking even with support)visited a hospital again 1 month back,MRi brain was done,showing hydrocephalus and early parkinsons changes,and advised for surgery (?Ventriculoperitoneal shunting,not done)and durin...
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25 year old female

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Chief complaints :  Bilateral pedal edema on and off since 1 month. Shortness of breath since 2 days. Fever since 4 days. History of present illness :  Patient was apparently asymptomatic 1 month back (G2P1L1 at 30 weeks of gestation) when she developed generalized edema for which she visited local hospital and was diagnosed with gestational hypertension and started on Tab.Labet 100 mg. After 1 week she developed 2 episodes of seizures (tongue bite - present, LOC - present) for which she went to Yashoda hospital. MRI brain was done which showed PRES (Posterior reversible encephalopathy syndrome) and Emergency LSCS was done on 10/10/22 @ 30 weeks of gestation i.v.o fetal distress. Patient developed 1 episode of seizure in OT and was kept on mechanical ventilation support and was extubated after 1 day. Patient was started on IV antihypertensives, IV antiepileptics, blood transfusion, lasix. After 1 day, patient was discharged on LAMA from Yashoda. Patient was taken to local hosp...
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