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Showing posts from January, 2021

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...
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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  ...