II INTERNAL ASSESSMENT


























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40yr old with severe anemia

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 A 40 yr old female came to hospital with chief complaint of Menorrhagia past 6months HISTORY OF PRESENT ILLNESS: A 40yr old female who was born out of consaginous marriage grade III through a normal vaginal delivery at her mother's sister house. She immediately cried and was breast  fed for 1year. Her immunization is not known . Since childhood she used to eat only one meal per day though she had a good appetite because of weakness.  She used to sway side by side while walking,sometimes fell down and again she used to get up on her own. She used to get ready to school by herself.(wearing uniform,combing hair) She used to repeat her standard almost 2-3 times. She attained menarche at the age of 14yrs with normal flow 4-5 days/month with no clots. LMP- 5/2/2022 Once she complained of heavy bleeding for a month for which they went to local mbbs doctor  who provided medications and her bleeding was relieved. Now since 6 months ,she is having heavy bleeding per vagina du...
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44 yr male with ALD

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This is a case of 44year old male diagnosed with ALCOHOLIC LIVER DISEASE(ALD)  CHIEF COMPLAINTS  44 year old male came to casualty with chief complaints of fever since 1 week which is high grade and associated with chills and rigors HOPI  Patient was apparently asymptomatic 12 years back, and he had history of intake of alcohol initially 90 ml gradually progress to amount of 200 ml since2 years. Patient was on alcohol which is about 200 ml initially and then the quantity increased to daily intake of 300 ml with no or minimal food intake. He had shortness of breath and also had generalised weakness. Patient became tachypneic over night(RR 18-32cpm) and also had 2 fever spikes and saturation dropped to 82% on RA and also had respiratory distress H/O agressive behaviour previously but now it got subsided  Previously tremors +  Decreased appetite   yellowish discoloration of sclera is present vomiting of 1 episode  patient was admitted in outside hosp...
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55 yr female with involuntary movements

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 MEDICINE E LOG BOOK “This is an online e log book to discuss our patient’s de- identified health data shared after taking his/her/guardian’s signed informed consent. Here we discuss our individual patient’s problems through series of inputs from available global online community of experts with an aim to solve those patient’s clinical problems with collective current best evidence based inputs. This e-log book reflects my patient centered online portfolio and your valuable inputs on the comments is welcome.” January 21,2022 55 YR OLD FEMALE WITH DEPRESSION AND INVOLUNTARY MOVEMENTS A 55 years old female came to the GM OPD with chief complaints of   - sudden onset of tremors in right arm since yesterday which stopped during sleep and started again in the morning.    History of present illness:  She was apparently asymptomatic 1year ago. Then as she developed abnormal behaviour with suspicion over that they are harming her and fearfulness towards others 1yr ...
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