GENERAL MEDICINE 1st INTERNAL ASSESMENT ANSWER SHEET -- NAGATARUN roll no 27
internal answer sheet
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GENERAL MEDICINE
ch.nagatarun kumar 3rd semester 21year old male resident of miryalaguda came to casualty with chief complaints of fever since 5 days, c/o decreased appetite since 7days, c/o vomiting since 1day, c/o sob since morning. Patient was apparently asymptomatic 5days back then he developed fever which was insidious in onset, intermittent and was of high grade type a/w chills and relieved on medication. Pt had h/o 1episode of vomiting 1day back which was non-bilious,non- projectile. No h/o any burning micturition, throat pain, cold,cough. PAST HISTORY: Not a k/c/o HTN,DM, CAD, asthma, TB, epilepsy. PERSONAL HISTORY: Patient has mixed diet with normal appetite and adequate sleep. he has normal bowel movements and bladder filling. No addictions. No significant family history or allergic history. GENERAL EXAMNATION: Patient is c/c/c ,moderately built and moderately nourished. No pallor, icterus, cyanosis, clubbing, lymphadenopathy, pedal edema. VITALS: BP: 140/90 MMHG, PR: 120bpm Temp
54 M with fever ,vomiting ,SOB
This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. Ch.nagatarun Date of admission of patient : 26/11/2023 Case: 54 years old male came to OPD with vomitings , fever , SOB since 5 days Chief complaints : Fever since 5 days SOB since 5 days Vomitings since 3 days History of present illness : The patient was apparently asymptomatic 5 days back then he developed fever, high grade, not relieved with medication , associated with chills and rigors and not associated with burning micturition , significant loss of weight. SOB since 5 days, grade III , no orthopnea , pnd. Also presents with vomitings since 3 days, non bilious
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