INTERNAL ASSESSMENT 1

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30 yrs female with MULTIPLE JOINT PAINS AND SWELLING

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presentation video https://youtu.be/iXyGc1ZnU5Q Chief complaints:::: A 28yr old female resident of ramannagudem came to the OPD with C/0 MULTIPLE JOINT PAINS  since 2 months                                   a/w loss of appetite, and low grade fever Since 2months. HISTORY OF PRESENT ILLNESS:: Patient was apparently asymptomatic 2 months back Then  On missing her periods she got her UPT done which confirmed her pregnancy     Few days later she developed left foot pain initially in the early morning- burning type when pain progressed to the other side(right side).                                                                                  Then joint pains were ascendin...
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45 yr old male with shortness of breath

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Chief complaints::   A   45 year old man came to the casualty complaining of  shortness of breath since 10 days.and swelling of lower limbs since 10 days History of present illness::: ..He was apparently asymptomatic six years ago, then he had an episode of fever for which was admitted to the hospital. . He was diagnosed with malaria. .He was diagnosed with Diabetes Mellitus as well. Then, 3 years ago , he had an another episode of fever for which he consulted a physician  He was found to have Viral Pyrexia and was diagnosed with Hypertension. Then around 1 year ago , one morning he had an episode of weakness of the right arm for which he was advised to undergo physiotherapy.  After 6 months of physiotherapy, the family thought he might get dependent on it so discountined. On September 2nd 2021, he came to the casualty with complaints of generalised swelling and shortness of breath since 10 days. Which was insidious in.onset gradually progressive from grad...
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