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2nd internal paper

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  1Q) Anatomical and etiological localization of hemiparesis and further management.  2Q)  Etiology pathogenesis clinical features management complications of acute pancreatitis.  3Q) Dengue few clinical features and complications  4Q) Cushing syndrome  5Q) Mandibular advancement device. 6Q) Cardiogenic pulmonary edema.  7Q) Rheumatoid Arthritis 8Q)Leptospirosis  9Q) Heart failure.  10Q) Ascites  11Q)pyrexia of unknown origin 12Q) Drugs induced lower injury 13Q) Elevation of lower back ache 14Q)Renal artery stenosis 15Q)Acute kidney injury 16Q)oral hypoglycemic agents 17Q) microvascular and macrovascular components of diabetes  18Q) lights criteria  19Q) Metabolic acidosis 20Q) Iron deficiency anemia
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  75 year old male who is farmer by occupation came to the OPD with the chief complaints of pedal edema and facial puffiness since 3days  HISTORY OF PRESENT ILLNESS The Patient was apparently asymptomatic 3 months back then he had fever first which didn't subside even after 4 days. He then experienced shortness of breath while still having fever.  He went to a local doctor, symptoms did not subside and then came to our OPD where he was diagnosed with CKD and hypertension  He used to have acidity from past 3 years occasionally for which he used to have antacids. He also had a slight pain in the lower part of the abdomen From the past five days, whatever he is eating is being vomited out which is non bilious, has no prior nauseous feeling, no vertigo, no blood, the content is which he eats at that time only, he is vomiting the undigested food. He is not even passing stools. HISTORY OF PAST ILLNESS: The patient is not a known case of diabetes, epilepsy,tuberculosis,asth...

General medical case

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  Chief complaint  65year male from nalgonda presentzed to opd complaint of fever and legpain since one month History of present illness  Patient was apparently asymptomatic from past one month. On date 1/10/2021 patient taken to hospital with complaints of fever and pedal edema. Doctors told him elevated blood Urea and blood glucose and advised to undergo dialysis.  ​History of past illness  Patient is not know case of hypertension  Coronary artery disease, asthma, tb, any surgery.  Personal history  Diet mixed  Sleep adquate Appetite normal Bowel and bladder regular  addictions patient smokes occasionally consume alcohol occasionally  Family history  No history of similar complaint in family  General examination  Patient is conscious, coherent coperative There is no icterus Pallor is seen  No cyanosis no clubbing of toes and fingers  No lymphadenopathy, no malnutrition  Vitals Temperature 98.2degree F...
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85 years female old patient came to opd with the chief complaint of weakness and leg pain since 25 days.        History of present illness  8 days back she admitted in hospital with right leg pain .One fine day during night she fell down from bed so she developed pain in right leg. then she visited hospital  History of past illness   she had surgery in past 4 years  No history of HTN  No epilepsy  No asthma  Personal history  vegetrain  Sleep adequate  Apetite normal  Bowel and bladder movements regular Micturition normal  General examination  Patient is conscious coherent coperative Pallor is present  She had a transfusion of blood.  No cyanosis  No clubbing  No lymphadenopathy  No pedal edema  Vitals  Temperture afebrile  Pulse rate 72/min.  Bp 110/80  Spo2 98%  Systemic examination  CVS  No murmurs  No thrills  Respirator...