2nd internal assessment paper_2

Paper-2
Question-1
Question-2
Question-3
Question-4,5,6,7
Question-8
Question-9,10,11,12,13,14,15,16

Popular posts from this blog

40 yr female with fever and pedal oedema

Image
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...
Read more

70 yr female with generalized weakness

Image
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: ...
Read more

57/F with low back ache

Image
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...
Read more