Internal Assessment-2

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83 MOHAMMED WAHAAJ BIMONTHLY ASSIGNMENT

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A CASE OF BILATERAL PLEURAL EFFUSION SECONDARY TO OVARIAN TUMOR

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A 45 year old female daily wage labourer by occupation came to the opd with chief complaint of shortness of breath since 2 days. Patient was apparantly asymptomatic 2 days ago then she developed shortness of breath which is insidious in onset gradually progressive from grade 1 to grade 3.It is aggrevating on supine position and reliwved on sitting position . Sob is not associated with chest pain , chest tightness, palpitations ,fever ,  cold , cough , nausea, vomitings , loose stools , PND , sore throat , decreased urine output.   H/o exposure to smoke from fossil fules since 30 years and patient husband is a known smoker who smoker 4-5 beedis per day. PAST HISTORY  - No similar complaints in the past . - Not a k/c/o DM, HTN, TB, ASTHMA, EPILEPSY,CAD, CVA. - Tubectomy was done 20 years ago. MENSTRUAL HISTORY  PAST MENSTRUAL HISTORY - Age of menarche - 11 years . - Regular cycles 5-6 days / 30 days. - No pain , No clots  - Uses 2-3  pads per day. PRESEN...
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    A 60 year old male patient came to casualty with c/o high grade fever since 5 days, Dry cough since 6 days, SOB on exertion since 4 days. C/o constipation since 4 days. C/o burning micturation since 10 days. No c/o decreased urine output. HOPI : Patient was apparently asymptomatic 10 days back, then he had burning micturation,and high grade fever a/w nausea and dry cough, not a/w chills and rigor,he had constipation since 5 days.   PAST HISTORY: Patient is a k/c/o DM since 30 yrsand was on medication DAPAGLIFLOZIN 10 MG OD and TAB. VOGLIBOSE 0.3 MG OD and  on insulin since 2 days MIXTARD as his Sr.Creatinine is 2 mg/dl K/C/O HTN since 30 years on TAB. AMLONG 2.5 MG OD . PERSONAL HISTORY DIET- MIXED APPETITE- Normal SLEEP- Adequate B&B- Decreased ADDICTIONS- Consumes alcohol occasionally. GENERAL EXAMINATION: patient is concious/coherent/cooperative, moderately built and nourished. No pallor No icterus No clubbing No edema No lymphadenopathy. Vitals: Temp- 10...
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