prefinals paper 1

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60 yr old female with fever, difficulty in swallowing,hoarseness in voice

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GM Blog: 60 year old female patient  NOTE This is an ongoing case and will be updated  The reference link (if any) will be mentioned at the bottom. Date of admission: 31-10-2022 CHIEF COMPLAINT: patient came to the opd with complaints of fever since 3 days and c/o cough associated with sputum  since 3 days  C/o hoarseness of voice and throat pain since 3 days  C/o decreased appetite since 5-6 months  C/o weight loss approximately 20kg over the last 1 year. HISTORY OF PRESENT ILLNESS- Patient was apparently asymptomatic 3 days back then she got fever and cough associated with sputum. She also had hoarseness of voice since 3 days. She had loss weight of 20 kg over 1 year. PAST HISTORY: Hypertension since 6 months not on regular medication  Hypothyroidism since 1 year on regular medication Diabetes mellitus since 6 years on regular glimiperide 1mg , metformin 500mg and saxagliptin 50mg PERSONAL HISTORY: Married  Moderately built and nourish...
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75 yr male with cough with expectoration ,sob ,pedal edemasince 15 days

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Pt came with c/o cough with expectoration since 15 days SOB-10 days Decreased urine output -10days Pedal edema-10days Constipation-10days Facial puffiness -2days HOPI Pt was apparently asymptomatic 6 months back then he had ,cough heametemisis (4times), alternative dark brown coloured (melena) and bright colored blood(hematochizia) following this he had loss of consciousness he was taken to hospital ,treatment was given for blood loss (2 transfusions)and late r on next day he had regained consciousness .Now patient had Cough since 15 days, associated with sputum which is white in colour,copious in amount,it is also associated with pleuritic chest pain on coughing cough is more during night time,relived by taking medication SOB since 10 days(grade 2) associated with orthopnea,PND Past History: no similar complaints in the past Personal history Appetite-decreased Diet -mixed Bowel and bladder-constipation , decreased urine output Sleep-decreased due to cough Alcohol history- since 50 yrs...
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