Internal Assessment 1
Posts
A 27 yrs old female with complaint of ankle and wrist pain
27 year old female came with chief complaints of pain over the both the wrists and ankle of both legs since 1 & 1/2 years History of Presenting illness Patient was apparently asymptomatic 1 &1/2 yrs back . Way back in March 2019 : After 6 hours of sleep in the night she experianced pain , swelling , mild rise of temperature with restriction of movement of left elbow joint (slight flexion of elbow joint) which lasted for one and half year September 2020: she went for physiotherapy for the right elbow joint pain Then 3-4 days later she started experiencing pain in the right ankle joint with pain, redness ,swelling over the joint . Pain was progressing and radiating from lateral to medial side and then to plantar aspect of foot Not relieved on medication even after 15 days Feb 2021 : She started experiencing pain over right wrist joint July 2021 : She started having pain of left wrist and left ankle as well Pattern of involvement of the joints : left elbow - right ankle
47 yrs old woman with fever for 10 days
47 yrs old female patient from Nakrikal who is a daily wage labourer came with chief complaints of Fever for 10 days History of Presenting illness Patient is apparently asymptomatic 10 days back .Then she developed fever which was incidious in onset ,with two spikes in a day one in the morning and other at night Not getting reduced with the routine over the counter medications It was associated with headache and joint pains Not associated with vomitings,cough,rash Not associated with any swelling of legs Past history: H/o similar complaints in the past. Hypertension,Diabetes,malignancy, epilepsy,TB and other chronic illness in the past. Family history: H/o similar complaints in the family. hypertension,Diabetes,malignancy ,epilepsy ,TB and other chronic illness in the past Personal history : Diet Mixed Appetite Decreased Sleep Disturbed since the fever started Bowel and bladder habits Regular Substance abuse Occasional Toddy drinker General physical examination: Patient is c
65 yrs old male with abdominal distension
Patient particulars Age 65yrs Gender Male Address Pochampally Occupation Shepherd Date of admission 5/11/2021 Date of examination 6/11/2021 Chief/presenting complaints : Pain abdomen since 1 month Distention of abdomen since 1 month History of presenting complaints/illness : Pain abdomen : Distention of abdomen : Onset- insidious Duration -1 month Progression -gradual No Aggravating factor& Reliving factors Associated pain abdomen No Yellowish Discolouration of skin and eyes No Mass palpable per abdomen Past history : No Similar complaints in the past. No h/o Hypertension ,Diabetes ,malignancy,epilepsy ,TB and other chronic illness in the past Deaf and dumb by birth Past surgeries and medical interventions in the past. Family history No Similar complaints in the family. No h/o Hypertension ,Diabetes , malignancy,epilepsy ,TB and other chronic illness in the family Personal history : Diet Mixed Appetite decreased Sleep Adequate Bowel and bladd