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Showing posts from December, 2021

Prefinal examination

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1.Heart failure  2.Define cirrhosis of liver .Etiopathogenesis of liver .Brief on clinical features ,diagnosis ,treatment of cirrhosis of 3.Renal calculi 4.Etilogy of pleural effusion.and diagnostic criteria. 5.Diagnosis and treatment of dengue fever . 7.Treatment of acute pyelonephritis  8.Treatment of abdominal tuberculosis  9.Etiology and treatment of pneumonia. 10.Complications of dialysis  11.Ascitic fluid analysis  12.Proton pump inhibitors  13.Afterload reducing agents in heart failure  14.Urinaty tract infections  15.Differential diagnosis of fever with rash  16.Insulin therapy in diabetes mellitus  17.Antihypertensives drugs in chronic renal failure  19.criteria for diagnosing infective endocarditis  20.Hormones secreted by pituitary gland 

Case history-12

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 A 53 OLD MALE WITH CKD Date of admission:20/12/21 A 53 yr old male came to the opd with the chief complaint of pedal edema since 3yrs and c/o decreased urine output since 2yrs and k/c/o ckd on MHD since 3yrs . HISTORY OF PRESENT ILLNESS: The patient was apparently asymptomatic  3yrs  back then he developed pedal edema insidious in onset ,gradually progressive ,pitting edema . C/o decreased urine output   No h/o chest pain ,palpations . Daily routine(before ckd ):The patient wakes up in the morning by 5:30am and does his daily routine and have his breakfast (rice and curry )and goes to field and have his lunch at 1:30/2:00pm (rice and sambar ) and return to home by 4pm and relax and have dinner at 9pm and goes to bed by 10pm . After ckd : The patient wakes up randomly based on his body functioning and does daily routine and have breakfast at 8:30 am (rice and curry )and take rest and have lunch at 1pm (rice and curry ) and stays at home and have dinner at 8:30pm (rice and curry ) and g

Case history-10

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 A 19yr OLD MALE WITH DENGUE THROMBOCYTOPENIA  Date of admission:8/12/21 A 19 yr old male came to the opd with the chief complaint of fever since three days and cough (dry) since three days . HISTORY OF PRESENT ILLNESS: The patient was apparently asymptomatic three days ago and then developed high grade fever associated with chills ,intermittent since 3 days ,associatied with dry cough since 3 days and generalised bodypains since 2days and history of burning micturation since 3days ,nausea ,cold,neck pain ,and constipation since 3days .  HISTORY OF PAST ILLNESS: No h/o vomitings ,loose stools  Not a k/c/o HTN/DM/TB /ASTHMA /CAV/CDA  PERSONAL HISTORY: UnMarried ,normal appetite,non vegetarian,regular bowel movement,micturation -normal ,no known allergies ,addictions occasionally .  FAMILY HISTORY: No history of diabetes, hypertension, heart disease, stroke, asthma, tuberculosis,cancers . General examination: The patient is conscious, coherent, cooperative  . Palar-present  No cyanosis