FINAL MBBS PART-II GM UNIVERSITY PRACTICAL SPOTTERS (09-06-22)

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1601006100 case presentation

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 LONG CASE   A 40/F Came with complaints of    1)Facial puffiness since 1 year  2)Itching all over the body since 1 year  and developed multiple plaques on abdomen and Lower limbs.                                                              3)abdominal distention since 1 month. 4)Sob  since 1 month. 5)pedal edema since 1month . H/O PRESENT ILLNESS Patient was apparently asymptomatic 3year back then she developed bilateral knee  pains  gradual in onset, progressive  aggrevating on sitting & squatting,r elieved on  rest ,for which she visited near by RMP doctor and on medication (steriods) since  then. 1yr  back she developed facial puffiness ,itching and rashes all over the  body  and  abdominal distension . since 1month she is having  pedal ...
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1701006133 CASE PRESENTATION

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 LONG  CASE   A 65yr old male patient who is a resident of nakrekal and farmer by occupation came to the OPD with the chief complaints of   Urinary retention since 2 days Abdominal distention since 2 days Fever since 3 days HISTORY OF PRESENT ILLNESS: PAST HISTORY He had right sided indirect inguinal hernia for which hernioraphy was done 13 years back. He is known case hypertension since 4 years and he is on medication since 4 years No history of diabetes,asthma,tb,cad,stroke  PERSONAL HISTORY married Diet:mixed Appetite:normal Sleep:adequate Bowel and bladder:urinary retention Addictions:regular alcoholic FAMILY HISTORY: family member has hypertension  No history of diabetes,asthma,tb,cad,stroke. GENERAL EXAMINATION Patient is concious,coherent,cooperative,moderately built and moderately nourished VITALS: Temperature:98.7°F Pulse rate:82b/m Respiratory rate:22c/m BP:140/70mmhg Spo2:99 Grbs:134mg% Pallor: present Icterus:no Clubbing:no Cyanosis:no Lymp...
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1701006049 CASE PRESENTATION

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 LONG  CASE   A 53 year old female came with altered  sensorium ,difficulty in walking ,loss of speech ,weakness of right upper limb and right lower limb. HOPI  : Patient was A known Case of Diabetes Since 11 Years and Hypertensive since 1 Year.   She developed Giddiness which later Resolved on the Next Day. RMP was called on and He prescribed Cinarizine and He also found that her BP was around 280 mmHg and gave Anti Hypertensive Drug(Telmisartan).  On the next Day While she was going to washroom was unable to lift her leg and she was dragging her leg which was noticed by daughters so was brought to our Hospital .On her Way to Hospital She Couldn’t recognise her Daughters. On Examination She Had Altered Sensorium ,Difficulty in Speaking,Weakness in right Upper Limb And Lower Limb. Daily Routine : She used To wake up At  5: 30 am and would complete her Daily House Old Activities. Negative History  : No History of Headache,Fever,Vomiting ,...
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