Internal assessment 2023



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pyrexia

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A 24yr old female patient came to the  OPD with  chief complaints  of fever since   10 days and cough since two days  HOPI Patient was apparently asymptomatic 10 days ago then developed high grade fever with chills and rigors which was continuous type and relieved. Temporarily on IV medication. Fever is mainly during the night time. It is associated with headache, generalised weakness and abdominal pain after having food. Then developed dry cough since two days occasionally which resolves spontaneously  No c/o Rash retro orbital pain, cold vomiting, loose stools burning micturation,  no bleeding manifestations  No c/o chest pain, SOB ,Palpitations    decreased urine output orthopnea ,PND  Past History  H/o appendicectomy N/K/C/O HTN, DM ,CAD, seizures TB,seizures, asthma  Personal history Mixed diet  appetite-normal  Bowel and bladder- regular  General examination  Patient was conscious coherent, c...
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Case discussion

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  B.VAISHNAVI 3RD SEMESTER ROLL NO. 22 This is an online E log platform to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. I have been given this case in order to solve in an attempt to understand the topic of patient's clinical data analysis to develop my competency in reading and comprehending clinical data and come up with a diagnosis and treatment plan. A 45 year old female farmer by occupation presented with chief complaints of abdominal pain and vomiting since 4 days, headache since 1 day.  HISTORY OF PRESENTING ILLNESS: Patient was apparently asymptomatic 5 days back. On Wednesday around 7:30 pm, pt alleged to be bitten by snake on right foot went to the local hospital, she is fine for 1 day. Had  swelling of right lower limb, went to the local hospital ( ointment  given)swelling subsided.  Complained of vomiting(2-3 episodes), bilious ( food as content) since 4 days. Pt complained  of ...
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general medicine case presentation

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58 year old male patient brought to casualty with chief complaints of SOB since 15 Fever since 15 days Burning micturition since 15 days HOPI: He was apparently a symptomatic six months back And then develop lower back and abdominal pain for which he was taken to a local practitioner where the diagnosed it as a renal failure and patient has taken a conservative management for three months and then patient has stopped taking medication. Then two months back, he developed swelling in the both lower limbs, which was gradually progressive.  Then he had developed fever, 15 days back which is of low-grade, intermittent on and off associated with cough and vomiting. 3 to 4 episodes For one day and was not associated With chills, cold And raise of temperature.  At the same time, he has developed a burning maturation which is associated with pain, non-radiating type and non-associated with hesitancy and urgency.  Then he has developed shortness of breath. 15 days back, which was g...
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