internal assessment -1


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GM CASE-3

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Name : A.Anusri Roll no :10 Introduction: A 47yr old female patient house wife  residing in narketpally came with complaints of adbominal distension, pedal oedema and shortness of breath Chief complaints: Abdominal distension since 2 months Pedal edema since 2 months Shortness of breath since 2 months History of present illness: She had abdominal distension and pedal edema since 2 months. She went to various local hospitals in nalgonda. She was diagnosed with hypertension and hypothyroidism after the necessary tests. She also used medication given by them. Pedal edema was subsided but not abdominal distention. So she came to KIMS for the treatment. She came to OPD 10 days back and she was given treatment for 1 week. Then she was admitted on 22/6/22 for further treatment. History of past illness: She is a k/c/o hypertension(since 2 months) , Diabetes mellitus(since 6 years) , thyroid (since 2months), diabetic nephropathy No H/O surgeries in the past Personal history: Married Appetite: n
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BIMONTHLY ASSIGNMENT OCTOBER

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A.Anusri Roll no. 10 Question 1 Gastroenterology 1.https://vamsikrishnarollno16.blogspot.com/2021/10/a-case-of-64yrs-old-male-patient-with.html?m=1 COMPLETENESS:  •The case presented is correct with accurate data  CORRECTNESS : •The history of the patient,symptoms and signs have been listed well. The clinical images were provide with the laboratory investigations. USEFUL LEADS TO ANALYZE THE DIAGNOSTIC AND THERAPEUTIC UNCERTAINTIES: All the investigations lead to the diagnosis of the case and better treatment of the patient. Hence, no diagnostic uncertainties were found. 2.https://63konakanchihyndavi.blogspot.com/2021/10/a-case-discussion-on-chronic-liver.html COMPLETENESS:  •The case presented is correct with accurate data.  •The case has completeness in all factors The case begins with the chief complaint the history of presenting complaints in a chronological order, past history, personal history is written well the vitals have been explained. •Icterus -present, oedema- present
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GM CASE 4

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Name: Anusri Roll no : 10 Introduction:   45 yr old male came to gen medicine department with chief complaints of tremors, numbness in left lower and upper limb, dryness of mouth , loss of control , abdominal pain. HISTORY OF PRESENT ILLNESS: He was apparently asymptomatic 6 months back. He used to suffer from abdominal pain occassionally ( when he takes spicy food). He consulted doctor and took medicine. He got tremors on thursday morning 7:30 am as he did not consume alcohol. Tremors disappeared and became normal after consuming alcohol. He then took alcohol on friday and no symptoms seen. On saturday, he did not consume alcohol and he developed tremors, dryness of mouth, loss of control. He immediately went to RMP and took 2 injections. The symptoms did not diasappear. He then went to a private hospital. Ecg, RBS ,MRI,lipid profile tests were done and are completely normal. He was then reffered to KIMS hospital.  Past illness: No h/o DM HTN TB epilepsy asthma chromosomal abnormaliti
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