General medicine 1st Internal assessment

 


 
 













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Osce questions

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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 day consumption around 3
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A 50 Yr old male patient

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This is online E log book to discuss our patient’s de-identified identified health data shared after taking his/her/guardian’s signed informed consent.  Case A 50 Yr old male patient with infected wound on right side of the thigh admitted in surgery referred to medicine i/v/O low hemoglobin  History of presenting illness : Patient was apparently asymptomatic 3 months ago when he met with an accident  Injury to his right thigh Went to local hospital got stitches done over the injury After 1 Month 15 days the wound got infected. Patient was taken to nalgonda.  Drained abscess from the wound Due to spread of infection, incision was extended over the thigh After Around 15 days later he developed anuria 1st dialysis was done in October in view of serum creatinine 2.5mg/dl.  3 dialysis were done. He developed bradycardia.  He went Hyderabad were 3 dialysis are done After 1 Month he came to hospital for skin graft and anemia  History of past illness : Diabetes since 15 years on medication gli
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