General medicine internal assessment





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  88 yrs old Female came to casualty with...... February 22,2023 A  88 yrs old  Female  presented to casualty with C/o  irrelevant talk and altered mental status since 10 days Shortness of Breath since 3 days  Cough since 3 days   HISTORY OF PRESENT ILLNESS: Patient was  asymptomatic 10 days ago and then developed altered mental status on & off and her speech being non cohorent  at times and later becoming normal by herself , each episode  lasting for 10- 15 mins . Productive cough 2 days ago  Now dry cough Shortness of breath since  3 days  initially grade III progressed  grade IV in these  3 days.  Later went to outside hospital and 2 D echo was done   2 D echo ( CAD , LAD + territor) , Global Hypokinesia , Severe LV dysfunction  No history of chest pain , palpitations , giddiness.  On 20/02/23 presented to causality with complaints of loss of appetite since one day and not talking ...
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    Thursday, March 3, 2022 59Y/F with hyponatremia THIS IS AN ONLINE E LOG BOOK TO DISCUSS OUR PATIENT'S DE - IDENTIFIED HEALTH DATA SHARED AFTER TAKING HIS / HER /GUARDIAN'S SIGNED INFORMED CONSENT .HERE WE DISCUSS OUR INDIVIDUAL PATIENT'S PROBLEMS THROUGH SERIES OF INPUTS FROM AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS WITH AN AIM TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT A 59Y/F  brought to the casualty with c/o involuntary movements of B/L upper limbs and lower limbs ,GTCS type , with uprolling of eye, tongue bite, involuntary micturition, lasting for 2.min , with post ictal confusion + ,aura -. H/o vomitings, (4-5 episodes in a day), nonbilious, non projectile, food particle as content H/o pain abdomen since yesterday diffuse type,  No c/o cold, cough, fever, burning micturition, headache ,trauma, Loc. Past history:-N/k/c/o Dm/htn/epilepsy/ CAD/Ba/thyroid disorders. Personal history:- Married Occupation Housewife Diet...
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38 yr old with c/o epigastric pain

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38y old male came to causality with  Clo of epigastric pain since yesterday  Clo of 10 episodes of vomitings since morning, Pt is a known case pancreatitis with alcoholic liver disease with h/o necrotising pancreatitis  Pt was apparently alright 30 days back and then developed vomitings immediately after food intake , contained food particles non bilious non blood stained and abdominal pain since 10 days and was admitted in our hospital treated symptomatically and discharged. Patient was admitted in outside hospital to get ct dine one week ago. Today pt was presented to causality with complaints of epigastric pain since yesterday which is insidious in onset and gradually progressive dragging type and non radiating aggravated on taking food and relieved on taking alcohol. K/c/o Dm-II since 2 months and on tab glimi  Psychiatrist consultation i/v/o alcohol dependence  Ophthalmology consultation i/v/o diabetic retinopathy    Investigations chart  
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