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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55y old female with anuria

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  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 . Manaswini Roll no. 153 14 December , 2021 55 YEAR OLD FEMALE WITH AKI  A 55 year old female presented to casualty with chief complain of  - no urine output since 2 days * - history of fever since 4 days  - 1 episode of vomiting  - History of frontal headache 2 month back HOPI  *  Patient was apparently asymptomatic 1 year ago then she developed fever and weakness following a mental trauma  for which she was taken to a local RMP doctor who said her that she have kidney problem and was referred to our hospital I/v/o dialysis . * She underwent 2 session of Dialysis in      ...
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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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