FINAL MBBS PART II GM UNIVERSITY PRACTICALS

 long case A 42 YEAR OLD MALE CAME TO OPD WITH CHIEF COMPLAINTS - bilateral lower limb swelling since 15 days -shortness of breath since 2 days HISTORY OF PRESENTING ILLNESS -patient was apparently asymptomatic 15 days back then he noticed bilateral lower limb swelling which was insidious in onset gradually progressing pitting type extending up to knee  -later developed shortness of breath since 2 days which was initially grade 2 progressed to grade 4 associated with orthopnea and paroxysmal nocturnal dyspnea no h/o cough , chest pain no h/o decreased urine output  no h/o fever, abdominal discomfort HISTORY OF PAST ILLNESS no history of similar complaints in the past no history of diabetes , hypertension , asthma , cardiovascular disease , epilepsy , cerebrovascular accident PERSONAL HISTORY  Diet - mixed Appetite - decreased  sleep - decreased bladder and bowel movements - regular he has been consuming alcohol 180 ml daily since 20 years chronic smoker 2 p...

 long case A 50 year old male presented to the casualty with weakness of right upper and lower limbs since the morning of 13/3/23 4am. With slurring of speech and deviation of mouth to the left side.    History of presenting illness   Patient was apparently asymptomatic 1 month back, he later developed giddiness followed by a fall. He was diagnosed with hypertension( HTN) to which he used medication for 20 days and stopped 10 days ago.  He was asymptomatic until yesterday when he noticed weakness in his right upper and lower limbs while going to the washroom. It was associated with deviation of the mouth to left side and slurring of speech. Symptoms were sudden in onset and quick in progression.   There is history of (H/O) trauma There is no H/O difficulty in swallowing, giddiness, headaches, nausea, vomiting, drug intake, chest pain, drug intake, tingling sensation of effected limbs.  Past history Diagnosed with HTN one month back. H/O past traum...