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Showing posts from August, 2021

18100006004 Thesis

Final Thesis link https://drive.google.com/file/d/1sgI_2Yjz_yW-g_fcZmGPUlyrXP9ZXZVy/view?usp=drivesdk

Procedural Competencies:-

Here are few Link's to my procedural competencies.  1.Lumbar puncture: https://drive.google.com/file/d/1sg1v9DpQd7QgFicxpZRc3a5GhKRhlYp1/view?usp=drivesdk 2.Femoral vein catheterization: https://drive.google.com/file/d/1saKvljLlkTp1V-s9Ahbbxfe93buVNoQN/view?usp=drivesdk

A 35yr old female with Involuntary movement's of Right upper & lower limb

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SHORT CASE-1 A 35yr old female patient who's a bank employee by occupation came to casuality with chief complaints of involuntary movement's of right upperlimb & lowerlimb since afternoon 2pm. History of presenting illness:- Patient was apparently asymptomatic till today morning, when she developed mild weakness of her right upperlimb & lowerlimb for which she went to local hospital & got few medications & later it subsided, she then attended her bank work where at around 2pm she had sudden involuntary movement's of right upperlimb & right lowerlimb which lasted for 2 to 3 minute's, She had around 5 similar episodes with a time gap of 10minutes. They're associated with post ictal drowsiness & are not associated with involuntary micturition/defaecation/uprolling of eyeballs/ Tongue bite/deviation of mouth/automatic behavior like running, walking about,Violent behavior.. Etc.  She had an similar episode in casuality & she's  having po...

44yr farmer with SOB, Pedal edema, pulsations in neck

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SHORT CASE-2 A 44 year old male patient , farmer by occupation  came to OPD with chief complaints of  Pedal edema since 3 months  Shortness of breath since 2months HISTORY OF PRESENT ILLNESS The patient was apparently  asymptomatic 3months back then he developed bilateral  pedal edema  pitting type, initially it's below ankle & subsided in early morning's , later it's gradually progressed to below the knee and not assocaited with diurnal variation. He then developed shortness of breath since 2months ,insidious in onset & gradually progressed from grade 1 to grade 2 to 3 currently. He's also having peri orbital edema & facial puffiness predominantly in morning since 2mnths He has decreased urine output since 2mnths No h/o hematuria, fever, chest pain, palpitations, diaphoresis, syncopal attacks HISTORY OF PAST ILLNESS:- He has tested positive for covid-19,  3 months Back & recovered after using medication known case of Hypertension sinc...

26yr male with Fever, cough, dyspnoea, weight loss.

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LONG CASE:- 26 year old male, construction worker by occupation presented to the casualty with the chief complaints of  Fever since 3 months  Cough with expectoration since 2 months  Dyspnea on exertion since 2 months  Vomiting since 2 months  Decreased appetite and weight loss over last 2 months  Dark coloured stools since 2 weeks.  History of presenting illness:- Patient was apparently asymptomatic 3months back till when he attended his relative function where he consumed alcohol for 2days ( Around 8 beers) following which after 2days he developed high grade fever though not associated with chills &  rigors or Night sweats and it subsided with medication for 1 week but from then he's having on & off fever.  The following month he started experiencing productive cough with mucoid expectoration, blood tinged amounting to 2 to 3 cup's per day it's foul smelling . Cough is more in sitting position & slightly relieved by Lying down ...