2nd internal medicine roll no 154


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52 Year old male iron deficiency

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52 Year old male came to Casuality with chief complaints of Fever since 1week associated with Generalised Weakness and Decreased appetite and Vomitings Following food Intake. History of wt loss  of 5kg in Last 5 months. History of Back Pain since 1 month. No H/o DM, Htn,Asthma,Epilepsy. Past History Not A K/C/O DM,HTN,Asthma,Epilepsy. No Allergies  No Past Surgical History Personal History  Diet -Mixed Appeteite- Decreased  Bowel And Bladder Movements Regular Addictions Absent Family History No Significant Family History. Vitals Bp 120/90 Pulse82 RR 15cpm GRBS 112 mg/dl General Examination Pallor -Present Icterus - Absent Clubbing - Absent Koilonychia - Spoon Shaped Fingers Lymphadenopathy -Left Supra clavicular           Lymphnode Enlarged Systemic Examination CVS S1 S2 Heard  RS BAE Present P/A Soft ,Non Tender. Provisional Diagnosis : Anaemia Under Evaluation Left Supraclavicular Lymphnode  Investigation Chest xr...
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 Patient a 28 year old complains of involuntary movement of upper and lower limbs History of present illness Patient has a history of seizure on 21/12/2021     3  episodes around 3 am,7am,11am    Each episode lasting for 3-5 min Seizure association with Up rolling of eye ball Brothing from the mouth History of fever,weak back association with chills Patient has no history of decreased urine output Patient has no history of pedal edema Patient urine has ,heamaturia, frothy urine History of shortness of breath from 10  days              grade two- three History of past illness Patient is a known case of CKD who's on maintenance dailysis discontinued from 19/10/2021 Patient is a known case of hypertension Diabetes-no Hypertension present -. Asthma absent Tuberculosis absent  No . exposure to radiation Personal history Occupation works in cloth store  Unmarried Appetite-lost Diet-Mixed Regular bowel and bla...
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50 year old male pyrexia

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50 Year old male came to Casuality with Chief complaints of Fever and Chills Since 1 week and Associated with Frontal Headache. No History of Vomiting,Headache,Loose Stools or Abdominal Pain Past History Not A K/C/O DM,HTN,Asthma,Epilepsy. No Allergies  No Past Surgical History Personal History  Diet -Mixed Appeteite- Decreased  Bowel And Bladder Movements Regular Addictions Absent Family History No Significant Family History. Provisional Diagnosis : Viral Pyrexia Vitals Bp 100/60 mmHg Pulse 75BPM RR 14cpm GRBS 437 mg/dl Pt Is C/C/C well oriented with Time,Place and Person  Pallor Absent Icterus Absent Clubbing Absent Koilonychia Absent Lymphadenopathy Absent Edema Absent Systemic Examination CVS S1 S2 Heard  RS BAE Present P/A Soft ,Non Tender. Provisional Diagnosis Viral Pyrexia investigations Chest xray  30-10-2022 28-10-2022 rapid deng...
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