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Final practical Examination-Long Case

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  A 25 year old Male presented to OPD with chief  complaints of    vomitings 10 episodes and  bipedal edema and decreased urine output  since 3 years. HISTORY OF PRESENT ILLNESSES: Patient was apparently asymptomatic 3 years ago  then    he developed multiple episodes of vomitings  for which he was admitted in the hospital and found  to have high BP of 170 mm Hg HISTORY OF PAST ILLNESS: Known history of hypertension . Known history of Tuberculosis  No history of  Diabetes mellitus asthma, epilepsy. No history of surgeries, chemotherapy or  r adiotherapy  PERSONAL HISTORY:  Diet - Mixed    Appetite- Normal  Bowel movement is regular . Micturition - Normal  Addictions- None  Sleep    - Regular  FAMILY HISTORY : No history of DM, CAD, Asthma and thyroid  disorders in the family GENRAL EXAMINATION  Patient is conscious, coherent, co-operative. There are no signs of icterus, clubbing, pallor, cynosis, lymphadenopathy VITALS Temperature- 98.4   Pulse rate-    78 bpm Respiratory rate - 13cpm 
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Final Practical Examination - Short case

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  A 60 year old male patient driver by occupation came to  casuality with the chief complaints of;  Pedal oedema since 15 days.   SOB since 1week.         Vomting since 1week.                                       Fever since 1week. Decreased urine output since 1week .     He is a known case of chronic renal failure and he is on hemodialysis and he underwent 7 sessions of hemodialysis.    HISTORY OF PRESENT ILLNESS; He was apparently asymptomatic 15 days back and he is completely normal and he can able to do his regular routine work. But 15 days back he developed oedema in his lower limb which is extended up to ankle which is pitting type. Fever which is continuous associated with cough and vomiting  since 1week.vomiting of one episode which is non projectile. Cough with sputum which  is red in colour and reduced after medication. SOB of grade 4 since 1week. PAST HISTORY; -He had a H/o dizziness  15 years back for which he went to hospital and diagnosed with diabetes and he discontinue
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General Medicine Prefinal Assessment

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 1.Define Heart failure. Ethiology and Clinical features of Heart failure . How do we diagnose heart failure clinically ,physical examination and various modalities used in heart failure . Write a brief note on treatment of heart failure.  2. Define Cirrhosis of liver.Ethiopathogenesis of cirrhosis. Write a brief note on clinical features,diagnosis and treatment of cirrhosis of liver. 3. Elaborate clinical features and diagnostic modalities in diagnosis of Renal calculi 4.Ethiology of Pleural effusion .Diagnostic criteria of Pleural effusion.  5. Diagnosis and treatment of Dengue fever. 6.Clinical features and diagnosis of Peptic Ulcer disease.  7.Treatment of Acute pyelonephritis. 8. Treatment of Abdominal tuberculosis 9.Ethiology and Treatment of Pneumonia  10. Complications of Dialysis  17.Antihypertensive drugs in Chronic renal failure 20. Hormones secreted by Pituitary gland 16.Insulin therapy in diabetic mellitus  15. Differential diagnosis of "Fever with Rash" 14. Trea
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Case of Acute Bronchiectasis

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A 42 year old female patient came to casuality on   15/12/21 with chief complaints of Shortness of breath  since 3 months, fever since 7 days,cough since 10  days and decreased urine output since 2 days. HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 3 months back  after which she developed SOB which was insidious in  onset with orthopnea. Patient developed cough since 10 days with  expectoration (mucoid, minimal, foul smelling and not  blood stained) increased on lying down and decreased  when sitting down. Patient complaints of  fever since 7 days with chills. Decreased urine output since 2 days . Patient had history of tuberculosis 6 years back for  which she was on medication for 8 months and cured completely . Patient is not known case of diabetes mellitus ,hypertension and ischemic heart disease.    - h/o similar complaints for the past 6 months(became severe since 10 days . Patient is labor worker  by occupation and she may be exposed to biomass and dust since 2
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