General medicine 1st Internal assessment

 


 
 













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A 22yr old female

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A 22 yr old female farmer by  occupation  came  to the opd with  Fever since  10 days Head ache since 7  days  Unable to pass the urine since  2 days  .  History of presenting illness:  Patient was apparently asymptomatic  10 days And developed  Gradual onset High fever with  chills and rigor continuous  associated with  nausea , relieved on medication  she had c/o Headache , diffuse in  region , occipital region predominantly, Gradual  in onset , dragging type , radiating to neck ,  Aggravated on talking , rotating the head ,  relieved on medication   c/o urinary retention ( acute )  for 2 days   Able to feel the fullness of bladder , not able to  pass urine , relieved after passing foleys  Had Weakness of lower limbs for 4 days .  Spontaneously resolved .  - patient was not able to walk on her own durin...
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53yr male with swelling of face

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 A 53-year-old male, a Hotel owner and chief by occupation, The patient presented to the hospital with chief complaints of Swelling of both Legs since 10 days Swelling of face since 7 days HISTORY OF PRESENTING ILLNESS   The patient was apparently asymptomatic 10 days ago.In the first week of June he had a binge of alcohol on occasion of local festival. Later he observed abdominal distension, followed by Bilateral Pedal odema which is pitting type extending up to the knee, insidious in gradually progressive , since one week . Patient has decreased urine output since 5 days not associated with burning micturation  yellowish discolouration of urine  No c/o - Chest pain, Palpitations , Shortness of breath ,Orthopnea, PND No c/o - Fever , Vomitings , loose stools. PAST HISTORY Not K/N/C- Hypertension, Epilepsy, Thyroid disorders. PERSONAL HISTORY Mixed diet, decreased appetite,constipation  decreased urinary frequency. K/C/O - Chronic Alcoholic since 20 yrs , every ...
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Osce questions

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