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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A 60 yr old male

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Chief complaints :  A 60 yr old male came to OPD with chief complaints of altered behaviour and vomiting HOPI :  Patient was apparently asymptomatic 12 years back , then he developed dizziness and weakness  , on examination in local hospital he was diagnosed with diabetes , then onwards he was on OHAs taking one tablet a day , this continued for 6 years , then due to uncontrolled blood sugar levels he had to increase his dose to twice a day , then from past 3 years he's on Regular insulin injection (15 IU in morning and 10 IU units in evening ) , 4 months back while he was driving accidentally he has burnt his right foot due to silencer ( exhaust ) , which got infected , that led to amputation of his 3 right lateral toes , after on general check up he was informed that his blood sugars are in control  and was asked to take OHAs . 3 days back he attended a function where he had consumed alcohol , had non veg , he skipped his medication on that evening , then he report...
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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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