1 st internal assessment



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67 old male patient with pain abdomen

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67 year old pateint  with pain abdomen since 4 days -  November 28, 2023 G.Aksharakruthi Rol l no 40 Patient came to OPD with chief complaints of pain abdomen since 4 days HOPI :   Patient was apparently asymptomatic 4 days back then he developed pain in the abdomen, insidious in onset, gradually progressive dragging type,aggravated on doing work ,after consumption of alcohol ,not associated with nausea,vomitings No h/o fever,cold,cough No h/o constipation ,diarrhea H/o burning micturition Past history  N/k/c/o HTN, Asthma, epilepsy,TB , CAD,CVA No h/o surgeries in the past  No H/O blood transfusion  No h/o radiation exposure Personal history: patient is farmer by occupation  Diet mixed Appetite decreased since 4 days  Sleep adequate Bowel regular  Micturition not normal  Burning micturition SLEEP ADEQUATE. Addictions regularly consumes alcohol about 90 ml/day  Since 30 years  Daily routine:- Patient  wakes up at 6:30...
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Bimonthly Blended Assessment for June 2021

I have been given the following formative assessment for bimonthly blended assessment for June 2021 .This is the link regarding assessment: .https://generalmedicinedepartment.blogspot.com/2021/06/bimonthly-formative-and-summative_19.html?m=1   Question 1:peer review  1.case : https://amishajaiswal03eloggm.blogspot.com/ My review on this question : 1) What is the evolution of the symptomatology in this patient in terms of an event timeline and where is the anatomical localization for the problem and what is the primary etiology of the patient's problem? Review:I agree with the diagnosis because the patient works in paddy fields so he is affected with the allergens in the paddy field .The flow chart answered in this question is appropriate and gives the  complete symptomatology . 2 .case : https://avulanikhil09.blogspot.com/ Question: could chronic alcohlism have aggravated the foot ulcer formation ?if yes and why ? Review : the answer for this explained is true and due chr...
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Case discussion

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14 Aug 2021 . G.Akshara kruthi ,3 rd sem  Under the guidance of Deepika mam. Case of 30 yrs old female with abdominal distension and bilateral pedal edema .    30 yrs old women presented to the causality with the case scenario as :  Chief  complaints : *  Abdominal distension since 4 months . * Dyspnea since 4 months  * Bilateral pedal edema since 4 months    History of present illness : Bilateral pedal edema resolved on its own  H/o of nonproductive cough 1 month prior to her son's delivery .   History of past illness:  Not a k/ c/o  HTN ,DM ,thyroid disorder  No H/o CAD ,CVA . Personal history :  Married  Occupation : coolie  Appetite:   normal  Non vegetarian  Bowel s : regular Micturition : normal No known allergies  No addictions Family history :  No such complaints seen in family . No history of Diabetes, Hypertension,TB, Asthma, CAD,CVD Obstetric history : Age at mar...
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