General Medicine Internal Assessment

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A 42 Year old male with Altered Sensorium

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August 16,2022 Chief Complain : A 42 year old male was brought to casuality in a state of altered sensorium with history of fever since 10 days , vomiting since 10 days , generalised weakness and drowsiness since 10 days. HOPI : Patient was asymptomatic 1.5 years ago and then developed involuntary movements of upper limb and lower limb associated with uprollong of eyes and for which he was taken to alocal hospital and was diagnosed to be having alcoholic encephalopathy and dyseloctrolytemia for which he was treated conservatively and was discharged in a hemodynamically stable condition.  From then he was asymptomatic until 10 days ago , when he developed fever which is of low grade and relieved on medication and developed generalised weakness and vomiting 4-5 episodes in a day and the content are food particles and non- bilious and also associated with nausea. C/O generalised weakness and drowsiness since 10 days. With above complains patient visited multiple hospitals and received sym
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GENERAL MEDICINE E-lOG

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31 YEAR OLD MALE WITH POST RENAL TRANSPLANTATION ARUSHI KUMARI 151    This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent.   Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs.   This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment . A 31 year old male , K/C/O CKD stage 5 with renal transplantation done came for regular check up . History of Presenting Illness -   Patient was apparently asymptomatic 5 years back . * Sequence of events  - In 2017 , patient started feeling generalised weakness along with blood in vomiting for which he consulted local doctor .  - The doctor asked for CBC which showed he is anaemic . - Till 2018 he and on and off
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55 YEAR OLD MALE WITH GIDDINESS AND LETHARGY

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Arushi Kumari  Roll no. 151 55 year old male painter by occupation came to casualty with cheif complaints of  1.Giddiness since 2 days 2.lethargy since 1 day - Patient was apparently alright 2 days back then at 9:00 am he had sudden episode of giddiness while urinating in the bathroom where he fell down on his knees, no LOC,No involuntary movements of UL/LL. - He was taken to outside hospital found out to be having BP-250/120mm of hgand so  antihypertensives were given. - 1 day back patient was brought  here with lethargy,  decreased responsiveness for further evaluation. - On presentation to casualty , he had   BP: 180/120mm hg f/b 170/100 f/b 160/100 and 150/80 mm hg. Past history: K/C/O HTN since 2 years and on irregular medication,Not a K/C/O DM, Bronchial asthma,CAD. Family History No family history of HTN, DM, bronchial asthma, epilepsy. General examination:-  - Patient is conscious,coherent, cooperative,oriented to time,place and person. - No signs pallor,icterus,cyanosis,lympha
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