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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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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70 yr female with generalized weakness

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70 yr female presented with chief complaints of Generalized weakness from 2 days Decreased appetite from 2 days Vomiting from 1 day HOPI: patient was apparently asymptomatic 2 days back then she developed generalized weakness which is insidious in onset,gradually progressive. Vomiting since 1day,1 episode,non bilious,non blood stained Past history: K/C/O HTN from 2yrs,on medication DM from 2 yrs,not on regular medication Present history:  Appetite- normal Diet-Mixed Bowel and bladder habits -Regular Sleep- Adequate Addictions:Pan chewing from 40 yrs 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: BP:130/80 mm Hg PR:100bpm Temp:98.1 F Systemic Examination: CVS: S1S2 Present RS:BAE Present,NVBS P/A:Soft, non tender CNS:NAD Investigations: ...
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57/F with low back ache

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Case: A 57year old female came with chief complaints of - Low back ache from 10 years -Excessive lacrimation from 10 days -Epigastric pain from 10 days HOPI: Patient was apparently asymptomatic 10 years ago , then she fell from steps and after 1 year she has back ache and went to hospital in bhopal  where she was given medications and 4 years ago she again fell on road and went to hospital in Hyderabad where she was given lumbar support belt and medications,now she came with low back ache, squeezing type , radiating to both lower limbs - Excessive lacrimation from 10 days -Epigastric pain from 10 days,burning sensation Past history: K/C/O HTN ,not on regular medication No DM,Asthma, Epilepsy,TB,CVA,CAD Present history: Appetite:Reduced Diet :Mixed Sleep : sleeplessness  at night from 6 months Bowel and bladder habits -Regular Addictions :Chews betel leaf  6-7 / day from 35 years General Examination: patient is conscious, coherent, co-operative, well oriented to time, plac...
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