GENERAL MEDICINE PREFINAL EXAMINATION Paper 1 & 2

Paper -2




Paper-1

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30 year old male with loose stools and vomitings

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30 year old male patient resident of suryapet and a watchmen by occupation came to casualty with  Chief complaints: Loose stools and vomitings since yesterday morning and shortness of breath since yesterday evening.  History of presenting illness: Patient was apparently asymptomatic till yesterday morning then he developed vomitings which are non bilious, non projectile, non blood tinged filled with food particles(10 episodes since yesterday which subsided from today morning). C/o loose stools 2 episodes yesterday morning which are watery, non blood tinged,non mucopurulent,not associated with fever, pain abdomen. C/o shortness of breath (grade 3) from yesterday evening which is not associated with chest pain, palpitations, orthopnea, pnd.  Patient was admitted in Gandhi hospital yesterday evening and was given IV fluids  And Inj.HAI 40iu.  Patient then came to our hospital due to shortness of breath  Past History: He is a K/C/O DM since 4 years(was on insulin mixtard 10u-X-10u and was
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50 year opd female with weakness from 1 year

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  Chief complaints:     -generalised weakness since 5 months       - loss of appetite since 5 months       - hematuria since 2 days     - dizziness since 5 months       - sob ( grade 2-3) since 5 months     - fever since 1 week  History of presenting illness: Patient was apparently asymptomatic 2 years back where she developed swelling of left lower limb first as with pain and then swelling progressed to whole body where she got admitted to Osmania and treated and swelling subsided and patient is doing fine .after 1 year of that event patient gradually developed generalised weakness, easy fatiguability, loss of appetite,weight loss, sob ( grade 2-3) not with cough, cold , palpitations,  She has fever which is intermittent, low grade not associated with chills and rigors  She also has Hematuria for which she went to local hospital where she found to have Anemia for which she was transfused 5 units of blood in a span of 20 days and was discharged.  She was doing fine. Since 5 months pati
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65 yrs old male with abdominal distension

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    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
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