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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1601006100 CASE PRESENTATION

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 LONG CASE 50yr old male patient came to casuality with cheif complaints: Shortness of breath since -10days Swelling of  upper and lower limbs since-6days Decreased urine output since - 6days HISTORY OF PRESENT IllNESS: -patient was apparently asymptomatic 1year back the he had shortness of breath which is intermittent type and then he was also diagnosed with CKD 1year back -10days back he had sudden onset of SOB which is gradeII gradually progressive to grade IV -orthopnea present -paroxysmal nocturnal dyspnea present swelling of both upper and lower limbs . Lower limb edema which is Pitting type upto thigh  PAST HISTORY:   -History of fall from tree 10 years ago  and then onwards he developed backache and neckpain .             -3yrs back he had fever ,cough,loss of appetite for 2months and had been diagnosed with tuberculosis and diabetes. -he took anti tuberculosis therapy for 6months and on OHA since then. -SOB with wheeze (s...
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