General medicine 1st internal assessment

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GENERAL MEDICINE DEPARTMENT MONTHLY ASSESSMENT

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65 year old male with tremors and urinary incontinence

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65 year old male with tremors and urinary incontinence A 65 year old male patient came to casuality with the Chief complaints of: -Tremors since 5 years -Giddiness since 2 months -Uncontrolled urination since 2 months - Slurring of speech since 3 months History of presenting illness: Patient was apparently asymptomatic 5 years ago then he developed tremors in upper limbs which was insidious in onset and gradually progressive and involved lower limbs, 3 months back his speech got slurred, drooling of saliva started, since 2 months patient was unable to control micturition and he started to felt giddiness and falls suddenly while walking and he is complaining of constipation since 2 months No H/O Fever, Vomitings, burning micturition,chills, SOB Past history: He is a K/C/O Parkinson's disease and he is using Syndopa 125 mg and trihexiphenidyl 2mg since 3 years No history of similar complaints in the past N/K/C/O DM,Htn,Tb,Asthma, epilepsy,CAD, Thyroid disorders Family history: Not Si...
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