prefinal examination paper-2

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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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A 55 yr old patient came to the Opd with Chief complaints of B/L swelling of legs since 1 week

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 A 55 yr old male  came to the  Opd with Chief complaints of B/L swelling of legs since 1 week. HOPI: patient was apparently asymptomatic 2 months back.then he developed fever for which he went to local RMP . Then 1month back he had trauma to left leg.for which he went to local doctor and used some antibiotics. Then he started  developing  bilateral pitting type of edema intially below the knees now progressed above the knees for which he went to NIMS hospital in Hyderabad and undergone 6 session of hemodialysis . patient also developed SOB grade 2.then patient went back to home. Then 7days back he again developed swelling of legs . For which he came to Kim's hospital where he has undergone 3 session of hemodialysis.then at the same time he developed hypertension for which he was on arkamin 0.1mg bd . 12 years back he underwent surgery for the swelling on the head . Daily routine: .He wakes up at 7:00am in the morning and take breakfast at 9:00am .after that he ...
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