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camp case 4/5/2024.

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Camp case 80 yr old male  CHEIF COMPLAINTS: Came with c/o giddiness since 15 days. HOPI: Pt was apparently asymptomatic 15 days back and then had giddiness which was  episodic daily once ,mrng before lunch a/w blurring of vision during that episode and relieves after taking food. H/o tingling and numbness of lower limbs since 10 yrs extending from tip of toes to shin of tibia  H/o burning sensation of feet since 5 yrs  H/o chest pain since 4 days , pricking type ,on and off ,no precipitating factors H/o loose stools for one day which was one week ago and subsided on medication. No h/o polyuria polydypsia  No h/o decreased urine,output burning micturition  No h/o fever,pedal edema ,facial puffiness  No h/o constipation, No h/o similar complaints at night times No h/o sob , palpitations  PAST HISTORY  K/c/o Htn on tab telma am -40/5 K/c/o dm on INJ MIXTARD 20UBBF ,15U BD  K/C/O CKD SINCE 13 yrs  K/C/O HFPEF 2° to CAD since 1 month...
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General Medicine case study .

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B.Divya 5th sem Roll no 23 A male pt aged 50yrs a resident of Miryalguda  farmer by occupation was brought  to OPD by his son in law. Cheif complaints           Shortness of breath            Burning micturition           Headache            Throat pain  History of present illness   H/o shortness of breath since 1 yr H/o headache since 20days( occipital region) H/o neck pain since 1 yr. H/o throat pain since 4days(pricking type) History of past illness No H/o DM,Tb, Epilepsy,CKD, cardiovascular accidents. Cerebrovascular accident 25 yrs back. H/o previous medication (joint pains, headache,neck pain, shortness of breath) No H/o previous hospitalization. Family History His mother has Sob Personal History Married Occupation-farmer Appetite-normal Diet-mixed Sleeping habits:He has sleep alterations due to painsand discomfort. Bowel- regular Micturition- burn...
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seizures

A 78 year old male who is a carpenter , resident of Nalgonda came to OPD with cheif complaints of     5 episodes of seizures since 9pm on 22/9/2023 . History of present illness: Patient was apparently asymptomatic 6 months back then he developed first seizure activity associated with involuntary moments of both upper and lower limbs with involuntary micturition with uprolling of eyeballs and tongue deviation. H/o dementia present H/o post ictal confusion  No H/o frothing during seizures. History of last seizure: On 13/9/2023 Past History H/o head trauma 1 month back H/o dementia with seizures H/o Hypertension since 6 months N/K/C/O DM, thyroid disorders,CAD,Asthma. Treatment history He was on medication for hypertension. Anti epileptic drugs:  TAB.BREVIPIL 50mg PO/BD initially. TAB.BREVIPIL 50 mg PO/OD since 5 days Personal History Diet :mixed  Appetite: normal Sleep: adequate Bowel and bladder movements: regular Addictions: alcoholic but stopped 5 years back NO...
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