09 sanvith anga

NAME : A. SANVITH ROLL NO: 09 A 61Y/M with Seizures secondary to Intracranial bleed , ?Atypical Pneumonia , With k/c/o HTN Denovo DM INTRODUCTION: 61 year old male, farmer by occupation came to the casuality with.. CHIEF  COMPLAINTS OF : Altered state of consciousness since  1 week.  HISTORY OF PRESENT ILLNESS: Chronic alcoholic since 20 years, regular alcohol/Toddy drinker Patient was apparently asymptomatic 6 years back then he had giddeness and weakness of left upper limb and lower limb and he got admitted in hospital ,at that time he was diagnosed with hypertension and CT brain was done -Rt internal capsule bleed secondary to hypertension. He was apparently asymptomatic 1 week back and he had done his work in farm and ate food during night time and went sleep then he developed episode of involuntary movements of all 4 limbs with            uprolling of eyes,           froath from mouth +       ...

 NAME: A Sanvith ROLL NO: 09 Unit 2 admission: INTRODUCTION: A 65 year old male came to  casualty with complaints of  vomitings and pain abdomen since one day. CHEIF COMPLAINTS: Patient was apparently asymptomatic one day ago and he had  before  day food,  followed by vomitings of 10 episodes bilious non projectile, food as content. He developed Pain abdomen around umbilicus squeezing type radiating to lower abdomen no aggravating or no relieving factors. HISTORY OF PAST ILLNESS: COVID 19 PNEUMONIA,  No covid vaccine taken. Patient attender started observing pedal edema and abdominal distension since one month , not associated with chest pain palpitations ,shortness of breath and increased urine output.  PERSONAL HISTORY: known case of alcohol since 20 years O/E:  VITALS:  TEMPERATURE AFEBRILE  pulse rate: 96 BPM  respiratory rate: 14 CPM  BP :200/90 mm Hg,  spo2 98% at Room air.  Grbs 190mg % CVS S1 S2 HEARD RS ...

 NAME: A Sanvith ROLL NO: 09 BELOW IS THE LINK FOR THE MONTHLY ASSIGNMENT GIVEN: https://medicinedepartment.blogspot.com/2021/08/medicine-paper-for-aug-2021-bimonthly.html?m=1 BELOW IS THE LINK FOR LONG AND SHORT CASE: https://2018- 21batchpgy3gmpracticals. blogspot.com/2021/08/ 18100006003-case- presentations.html?m=1 Question :01  Long case :  This is the case of :  Acute Glomerulonephritis, likely due to Secondary Amyloidosis due to Chronic Poorly Treated Seronegative Erosive Rheumatoid Arthritis. Dilutional Hyponatremia secondary to Anasarca due to Glomerulonephritis Hyperuricemia likely due to decreased Uric Acid Excretion Precipitating Gouty Arthritis Anemia of Chronic Disease secondary to Poorly Treated Rheumatoid Arthritis. Treatment given to the patient is :   Free water restriction for Hyponatremia Tab. PREDNISOLONE P/O 20 mg OD  Tab FEBUXOSTAT P/O 80 mg OD  Haemodialysis for worsening renal dysfunction As this is the long case each and...

  Name: A Sanvith Roll no: 09 INTRODUCTION: A 70 yr old male agriculture by occupation was brought to causality in an unconscious state since yesterday. CHIEF COMPLAINT :  Fever since 3 days  Abdominal pain since 3 days HISTORY OF PRESENT ILLNESS: * Patient was apparently asymptomatic 1 week back after which he started Binge drinking for 2 days. *He developed Fever that last for 3 days and developed Abdominal pain Burning type both for which he was treated by local Doctor. * After that he developed weakness which is gradual in onset and was unable to stand for which he was admitted to local hospital where he was diagnosed to have DENGUE FEVER (through NS1 ANTIGEN Positive) and the Platelet Count was 24,000.  PAST HISTORY: *Patient is a known case of Chronic Alcoholism since 30 years and increased his intensity since last 3 years.  *smoking since 20 yrs, average 2 beedi per day TREATMENT HISTORY: * No Past history of treatment  PERSONAL HISTORY: * He is a...