129 CHANDANA first internal answersheet

 

  
      

  

 


















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A 60 year old female came with uncontrolled abnormal movements lasting more than 30 minutes

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This is an elog prepared with the de-identified health data collected after taking the informed consent of the patient and her attender reflecting an attempt at patient-centered approach to learning clinical medicine.  The patient was brought is a 60 year old woman hailing from Nalgonda. She lives with her elder daughter's family and spends most of her time at home, managing the housework. She was brought to the OPD by her daughter 3 days ago in an unconscious state , with uncontrolled abnormal movement of limbs lasting for more than 30 minutes . HOPI The patient was apparently asymptomatic 23 years ago when, due to a head injury she sustained during a fall a few years before, she began experiencing these episodes of "fits" or (uncontrolled abnormal movements of the limbs and loss of consciousness) with a frequency of 0-2 times/year . Patient has been on anticonvulsive medication since the past 23 years. A typical episode begins with headache and dizziness, up-rolli...
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A 27 year old male presented to the OPD with fever and cough since 10 days

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  A 27 year old male came to the OPD with complaints of fever associated with productive cough since nearly two weeks. HOPI Patient was apparently asymptomatic two weeks ago. Patient developed a fever 10 days ago which did not reduce with medication. Patient was taken to a clinic near his house where he received injections for the fever. When the fever did not subside, patient was brought to the hospital 5 days ago. Fever is of continuous type with diurnal variations. Patient has associated cough which is productive with blood stained sputum.  Patient also complains of left sided chest pain and pain along the left mid-axillary line since the onset of fever.  Patient appears weak and mentioned that he breathes with difficulty.  PAST ILLNESS No H/O diabetes, hypertension, tuberculosis, asthma or epilepsy. No previous surgeries. No previous blood donations. Patient was previously hospitalized twice: once for "stomach pain" 3 years ago, which reduced with medication; and...
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