Pre-finals (paper-1)

 






















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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 55 year old patient with giddiness and vomitings

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