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bimonthly assessment-January

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26 year old woman with complaints of altered sensorium somce 1 day,headache since 8 days,fever and vomitings since 4 days More here:  https://harikachindam7. blogspot.com/2020/12/26-year- old-female-with-complaints-of. html Case presentation  links:  https://youtu.be/fz9Jssoc-mA https://youtu.be/d4lLX04oL8s https://youtu.be/CSCxw2zp7Oc a.What is the problem representation of this patient and what is the anatomical localization for her current problem based on the clinical findings? A. Problem presentation of this patient : . Altered sensorium with irrevelant talk since 1 day . Vomitings since one week  . Fever since one week  . Generalized weaknesses with decreased appetite since one month . Neck pain with headache since one month which is worsened past 8 to 15 days. Anatomical localization: lesion may be in frontal lobe. b) What is the etiology of the current problem and how would you as a member of the treating team arrive at a diagnosis? Please chart out the sequence of events timel
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A 65 year old female presented to Opd with chief complaints of  -Abdominal distension since 4 days  -Diffuse abdominal pain since 4 days  -decreased urinary output since 4 days  -Burning micturition since 4 days  -Constipation since 2 days HOPI Patient was apparently asymptomatic 4 days back then she developed burning micturition not associated with suprapubic tenderness, loin pain, fever and chills.  It is associated with decreased urinary output since 4 days.  Diffuse abdominal pain present since 4 days which was spasmodic type non radiating. No aggravating and relieved on medication.  There is history of fluid loss 4 days back ( vomitings 2 episodes )  Past History  She is a k/c/o DM type 2 since 6 months and is using medication for it (Metformin 500 mg OD)  She is a k/c/o HTN since 3 years and is on medication for it (T.atenolol 50mg and T.amlodipin 5mg)   Patient is not a k/c/o TB, Asthma, Epilepsy, CAD and CKD  Drug History  Not allergic to any known drugs.  Personal History  Die
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45 year old male patient,working as security came to the casuality with the chief complaints of fever and yellowish discolouration of eyes and urine since 10 days .  In 2008 , Patient got admitted in hospital for fever ,he was diagnosed of having jaundice and on medications for 3 months regularly.  Patient was apparently asymptomatic 10 days back then he developed fever after doing continuous night duties for a week . Fever ,is continuous ,associated with chills and rigors, relieved on medication( paracetamol,relieves for 1 hour and fever again progresses). No H/O headache , pedal edema , cough , cold , SOB,burning micturition , chest pain ,melena , night sweats . H/O mouth ulcers (lower lip) , since 5 days  had past h/o mouth ulcers , which got relieved by themselves without using any medications . Not a k/c/o DM,HTN,thyroid ,epilepsy.  K/c/o alcoholic and tobacco chew since 20yrs. Patient used to drink alcohol since 20yrs occasionally,but started drinking regularly since 9 yrs ( Drin
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