General medicine 1st internal assessment

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A 27 yr old patient with loss of appetite and chronic alcoholic

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A 27 yr old patient with loss of appetite and blood in urine came to opd with CHIEF COMPLAINTS: Complaints of loss of appetite since 20 days Complains of tremors since 15 days Complains of blood in urine since 10 days Complains of pedal edema since 10 days HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 20 days back then he had loss of appetite for which he went to hospital and diagnosed as CLD, splenomegaly with portal hypertension and took medication.  After which he complains of hematuria since 10 days and pedal edema which is pitting type, relieved on taking rest and aggravated on walking. Has tremors 15 days. Malena positive 20 days back for 10 days. No abdominal pain, no vomitings, no burning micturition, no loose stools.  PAST HISTORY: not a known case of HTN,DM, TB,CVD, thyroid disorders epilepsy H/O surgery appendectomy.  PERSONAL HISTORY : Diet: mixed Appetite: increased Bowel habits: normal Bladder habits: normal Sleep: normal Addictions:   alcohol consumptio
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GENERAL MEDICINE E-LOG

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Chinthakuntla.Sowmya  Rani Roll no:154 3rd semester  A 60 years old male patient ,who is not working since 10 years came to casuality with the Chief complaints of 1.Shortness of breath -grade 4 2. Pedal edema - 2 months History of presenting illness Patient was apparently asymptomatic ,  2 years back then he had c/o small ulcer over left leg & went to hospital & on regular medications for ulcer  Diagnosed CRF & on regular medications  2 months back Patient c/o pedal edema went to local hospital Diagnosed with grade- 2 ,3 pitting  Bilateral CRF since then he is having SOB  from 15 days  Orthopnea present  No PND  No Chest pain No palpitations  C/O decreased urine output  No c/o of burning micturition  Discontinued medications last 15 days History of past illness  No h/o HTN,DM,epilepsy ,TB, Asthma PERSONAL HISTORY  Apetite - lost Diet- mixed Sleep- Adequate  Bowel- Regular  Micturition- Abnormal  Addictions- Alcohol drinking daily 90-180ml /day since 40 years Smoking - 18-20
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A 45 year old female patient residence of kattangur came to opd with 

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A 45 year old female patient residence of kattangur came to opd with  Cheif complaints : -generalised body pains since 3 months      - generalised swelling of body since 1 month  -shortness of breath  since yesterday morning  History of presenting illness: Patient was apparently asymptomatic 3 months back and then developed generalised body pains since 3 months which is pricking type and aggravated while doing daily routine work and walking and not relieved on medication   C/o of generalised swelling all over the body 1 month back which is gradually progressive and swelling in legs is aggravated during walking and during nights and not relieved on medication C/o Shortness of breath from yesterday Morning which is sudden in onset which is of grade 2  aggravated during walking and relieved by taking rest. No H/o palpitations and chest pain  No H/o burning micturition, decreased urine output. No H/o fever and headache. Past history:  She is a known case of diabetes since 3 years and  know
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