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A 60M with generalised body swelling since 1 week and SOB since 10 days

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  Patient came to OPD with C/o generalised body swelling since 1 week (prior to admission) C/o SOB since 10 days (prior to admission) C/o generalised weakness and unable to walk HISTORY OF PRESENTING ILLNESS: Patient was apparently asymptomatic 1 week back then he developed generalised body swelling, facial puffiness present.patient also developed SOB since 1 month of grade-3 (acc to NYHA ) ,aggravated on exertion and relieved on taking rest ,associated with wheeze. H/O fever,low grade,intermittent, not associated with chills and rigors and relieved on taking medication. H/o loss of Appetite and loss of weight present H/O generalised weakness and skin allergy present since 10 days No H/O chest pain,chest tightness and palpitations. PAST HISTORY: No H/O similar complaints in past K/c/o type 2 diabetes mellitus, using Tab.Metformin 500mg OD (on irregular usage) No H/O hypertension, TB,asthma, CAD,CVA,Thyroid disorders, Epilepsy. TREATMENT HISTORY: Tab.Metformin 500mg OD f
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A 80 year old male with left upper lobe pneumonia (CAP)with hypertension and hematemesis

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Patient came to OPD with complaints of SOB since 3  days and abdominal distension since 3 days (prior to admission). HOPI: Patient was apparently asymptomatic 3 days back (prior to admission),then he developed breathlessness (Grade -3 acc to NYHA ),which is sudden in onset,aggravated on supine position, orthopnea present ,PND present. H/O cough with sputum,blood stained ,moderate quantity. H/O low grade fever ,diurnal variation present ,more during night associated with sweating,no h/o cold. H/O chest heaviness ,non radiating and now relieved. H/O B/L Pedal edema upto ankles since 3-4 years,relieves on activity. H/O abdominal distension since 3 days ,insidious in onset and gradually progressive. NO H/O pain abdomen, loose stools ,constipation, regurgitation. H/O burning micturition present and dribbling of urine present H/O urge continence,no h/o stress incontinence. PAST HISTORY: k/c/o hypertension 4 years back ,on regular medication (unknown) N/k/c/o diabetes mellitus, CVA
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A 75 year old female with altered sensorium secondary to infarct in Right frontoparietal region

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  A 75 year old female who is a resident of thatekal,nakrekal ,came to the casualty in the state of altered sensorium since 10 am in the morning on the day of admission (01/01/2024). History of presenting illness: Patient was apparently asymptomatic until today morning 8am (01/01/2024),then she had an episode of generalised tonic movements, which was lasting for 10 minutes and stopped by itself,which is also with post ictal confusion,No H/O level of consciousness.  Next episode of seizures at 10am associated with deviation of mouth,frothing from mouth ,No involuntary micturition/ defecation and this followed by altered sensorium  No H/O fever ,headache, neck pain prior to seizures.  Past history: Patient is a k/c/o epilepsy since 2 years ,but not taking any medication.  K/c/o ? CVA,but not taking any medication  K/c/o hypertension since 2 years ,taking medication Not a k/c/o diabetes mellitus,asthma,CAD,Thyroid disorders,TB. Treatment history: Hypertension since 2 years, on medication 
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PRE FINAL EXAMINATION(PAPER-2)

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PRE FINAL EXAMINATION (PAPER-1)

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