Gm internals 1 roll no 121













 

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E-log General Medicine (nephrology)

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Introduction 65 yr old male came to the casuality with chief complaints pedal edema since 1 and half year.Decreased urine output since one and half year.SOB History of present illness Patient was apparently asymptomatic for 1 and half year back then he developed pedal edema which was gradual onset progressive in nature, came to kims for further investigations. HISTORY OF PAST ILLNESS  K/C/O   HTN N/K/C/O   DM,Thyroid ,TB,Epilepsy,Asthma. PERSONAL HISTORY •Mixed diet •Loss of appetite •Sleep adequate •Bowel and Bladder movements regular. TREATMENT HISTORY  •k/c/o HTN  • Not k/c/o diabetes,CAD , asthma, TB. •NO H/O chemo /radiation , blood transfusion. •NO H/O previous surgeries. FAMILY HISTORY  Not significant. GENERAL EXAMINATION •Patient is conscious, coherent and cooperative •Moderately built and Moderately nourished •No signs of - Cyanosis                        Clubbing                         Icterus                          clubbing                         lymphadenopthy •Pedal e
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GENERAL MEDICINE ASSIGNMENT (JULY 2021)

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