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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Short case

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45 year  old male came to the OPD with Chief complaints   of: Bilateral pedal edema since 12days Shortness of breath since 5days  HOPI : Patient was apparently asymptomatic 12days back then he developed bilateral pedal edema which was gradual in progression, extended upto knee and is of pitting type. He also developed Shortness of breath which was initially grade 1 and progressed to grade 2 (nyha) Associated with orthopnea H/o loss of appetite since one week and nausea and vomitings three days back (3 episodes) non billious No H/o- fever,burning micturation, diarrhoea decreased urine output  No H/o cough, hemoptysis,fever, No h/o chest pain,giddiness , palpitations, decreased urine output, syncopal attacks, No h/o abdominal distension, jaundice  vomitings Past history: Not a K/C/o Diabetes Mellitus,Asthma,TB,epilepsy,leprosy,CAD Treatment history  Not significant  Personal history: Diet:Mixed  Appetite:Decreased  Sleep-adequate Bowel movement...
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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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