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GM CASE -4

Name : A.Anusri Roll no :10 Introduction : 70 yr old male residing in addagolu (nalgonda dist) came to OPD with chief complaints of blurred

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

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

GM CASE-2

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Name : A.Anusri Roll no :10 A 40 yr old patient came to the casuality with chief complaints of unconsciousness since 2 hrs CHIEF COMPLAINTS: unconsciousness since 2 hrs History of present illness: He took alcohol on 17/06/22 night(270 ml). He woke up next morning and went to collect toddy. Then went out to bring essentials. Atfer some time he had lunch and went to his shop. He then started behaving abnormally. He was taken to the RMP doctor. He gave hin B12 injection. He came home and slept for some time. His wife woke him up after some time for dinner. He was unable to wake up. Then he was brought to casuality. History of past illness: He had similar episode 1 yr back. He stopped taking alcohol after this episode. He was also diagnosed with HTN 1yr back. He took medicine for 2 months and then stopped taking after the advice of doctor.  Not k/c/o diabetes , TB , asthma, epilepsy, chromosomal disorders, CAD Personal history: Married Diet: mixed Appetite: normal  Bowel movements: normal

GENERAL MEDICINE CASE STUDY

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 Anusri Roll no :10 Below is an elog describing patient centered data approach and discussion regarding patient deidentified health data. CHIEF COMPLAINTS A 75 year male patient from chotuppal came to causality with chief complaints of unresponsiveness and unable to speak.  HISTORY OF PRESENT ILLNESS Patient was apparently asymptomatic 4 days back. Then skipped his breakfast and his medicine ( voglibose 0.2mg, meformin500mg, gnlimiperide2mg) due to other works. Then he became unresponsive on 6/06/22 morning. Then he was brought to the hospital.    HISTORY OF PAST ILLNESS He was apparently asymptotic 6 years back. Then he went to hospital due to decreased responsiveness and was diagnosed as type2 diabetes mellitus He is n/k/c/o HTN, CAD , Asthma, epilepsy, TB PERSONAL HISTORY Married Diet: mixed Appetite: normal Bowel movements: normal Bladder movements: normal Alcoholic ( drinks ocassionally 1-2 pegs) Non smoker FAMILY HISTORY Not a k/c/o asthma , TB, epilepsy, diabetes, HTN, CAD GENER