prefinal examination paper-2

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40 M C/o weaknesses of body since 1 month

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40 yr male  Pt came to the opd with C/o weakness of the body since 1 month  Hopi : pt was apparently asymptomatic 4 yrs back then he developed headache and weakness of body . So , he went to the local doctor and was diagnosed as hypertension. But patient was not taking any medication. So, he again developed weakness of the body since 1 month .  Weakness is associated with the the dizziness and sweating .  No H/0 nausea , vomiting , burning micturition, constipation .  Past H/o : k/C/o HTN since 4yrs but not taking any medication                    N/k/C/O DM , Asthama , TB , epilepsy, cva , cad ,thyroid.  General examination: pt. Was conscious, coherent and cooperative moderately built and well nourished.  General examination; No pallor ,  icterus,cyanosis, clubbing,pedal edema , no lymphadenopathy Vitals  Temp- afebrile  PR - 90 bpm BP- 170/100mmHg RR- 16CPM Systemic examination CVS- S1,...
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​A 48 yr old male came to the opd on 25/12/22  with the chief complaints of abdominal pain since 5 days and constipation since 5days .  HOPI : patient was apparently asymptomatic 5 days back then he developed abdominal pain which was insidious in onset and gradual in progression. Pain is in the left quadrant . Pain is subsided in a day. History of constipation since 5 days because of which abdominal distension is present . Patient passed stools after giving enema and abdominal distension also decreased after giving.  Initially patient has decreased urine out put but now  Patient complaints of increase in frequency and the urgency of urine for which solifenacin is given .  5 months back patient had complaints of abdominal pain , fever and vomiting for which he went to the local hospital and symptoms decreased.  1 1/2 year back patient has chest pain for which he went to hospital and diagnosed as coronary artery disease for which stent placement is done . Aft...
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