2nd internal assessment paper-1

Paper-1
Question-1
Question-2
Question-3
Question-4,5,6,7,8,9
Question-10 to 


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Medicine blended assignment

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40 yr female with fever and pedal oedema

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40 yr female who is farmer by occupation resident of Masanepelli village,Janagam mandal ,Yadadri district  came with chief complaints of - Fever since 1 week,subsided 3 days ago - Pedal oedema since 1 week -Facial puffiness since 1 week -Burning micturition 1 week ago ,subsided 3 days ago -Head ache,neck pain - 1 day HOPI: Patient was apparently asymptomatic 1 week ago then she developed fever  which was for 3 days which is high grade , intermittent, relieved on medication.Then she developed pedal oedema 3 days ago extending upto knee,pitting type  Past history: Denovo HTN N/K/C/O DM, Asthma, TB, Epilepsy, CVA, CAD Present history: Appetite -Nornal Diet-Mixed Bowel and bladder habits -Burning micturition from 3 days No Addictions General Examination: Patient is conscious, coherent, co-operative,well oriented to time, place and person, moderately built and nourished No pallor, icterus, cyanosis, clubbing, pedal oedema, lymphadenopathy Vitals: PR:99bpm BP:170/10...
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Intern assessment

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