pre final examination 2022

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final short case

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18 th January 2023 65 years old female patient who is from nalgonda labourer by occupation presented to OPD on 12-01-23 CHEIF COMPLAINTS: Abdominal pain since 2days  Associated with nausea and vomiting since 1day HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 2 years back then she developed pedal edema, facial puffiness, decreased urine output short ness of breath grade 1 and difficulty in moving lower limbs 2 years back and was taken to a private hospital and diagnosed to have hypokalemic (k+2.2) and found to have raised creatinine levels  1 year back patient started walking with support and decreased pedal edema and facial puffiness and decreased urine output and diagnosed with CKD (  increased creatinine, shrunken kidney,anemia)  2months back pain abdomen, decreased appetite, burning micturition and cloudy urine for 6 days subsided on medication.  2days back pain abdomen - squeezing type not associated with loose stools  Vomiting,nausea ...
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A45 year old male patients came to causality with chief complaint of fever , abdomen pain , vomiting and lose stool

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CHIEF COMPLAINTS :    A 45 yr old male c/o fever since 5 days, abdominal pain , loose stools and vomitings since yesterday. HOPI: patient was apparently asymptomatic 5 days ago and then developed fever, which is low grade, not associated with chills and rigors and relieved on medication. He complains of diffuse pain abdomen since 11th October morning. He had 3-4 episodes of vomiting on the same day evening, food particles as content and non- bilious in nature .He had loose stools since evening the same day, which is of 5 -6 episodes and so he went to local hospital. He developed weakness of both upper and lower limbs and found to be having low potassium, correction was done and the weakness got improved. He now came with c/o abdominal pain , vomiting and loose stools. PAST HISTORY Not a k/c/o DM, Hypertension, Asthma, epilepsy, CAD, CKD.  He went for a General checkup 6yrs ago, where he was diagnosed as HIV positive. He was on ART .  He met with an accident 3yrs ago ...
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