1st internal assessment,general medicine.

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A Harikrishna

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     GENERAL MEDICINE CASE SHEET(june14) CHIEF COMPLAINTS: A 35 year old female, fertilizer factory worker by occupation came to the opd with chief complaints of altered sensorium,lack of energy,fever and loss appetite for 3days,vomiting frequently. HISTORY OF PRESENT ILLNESS:                   Known case of hypertension()..  and recently diagnosed with severe diabetes   and hypersalivation fever-low grade. She quit her job 15 days before the development of symptoms and attended to a function 3days before the development of symptoms. HISTORY OF PAST ILLNESS: k/c/o :HTN Not k/c/o: diabetes  surgical history: umbilical hernia  PERSONAL HISTORY: Diet:mixed Appetite:decreased Bowel and bladder mixed: normal Addictions: none FAMILY HISTORY: normal  GENERAL EXAMINATION : Pallor:not seen Cyanosis:not seen Icterus:not seen  Lymphadenopathy:not seen Clubbing:not seen Oedema:not seen VITALS : Temperature: fe...
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01 HARIKRISHNA

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              GENERAL MEDICINE 12.JULY.2021 INTRO : This is an online E-LOG recorded to discuss and analyse our patient's health data and history shared after his/her guardian's signed and informed consent.. CASE SHEET:   A 45 year old male chronic alcoholic, carpenter by occupation came to the OPD with< altered sensorium.. CHIEF COMPLIANTS:                                       ~Difficulty in walking&decreased appetite.                 ~Fever and pedel edema. HISTORY OF PRESENT ILLNESS:   *State of altered sensorium since 1 day   *Patient had difficulty in walking and decreased appetite since       then.   *H/o constipation since 5 days.   *Fever - low grade , intermittent , releived with treatment since    3days.   *B/l pedal edema - pitting , extendin...
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