Medicine prefinals papers 1 and 2


























Paper-2





























 

Comments

Post a Comment

Popular posts from this blog

70yr old male with altered sensorium secondary to ?Meningitis

Image
  Sri Nithya Roll.no-86 ICU-BED. NO -03 A 70 Years Old Man Who was a Farmer By Occupation Presented to Casualty With  Altered Sensorium Since 3 Days  Fever Since 20 Days  HOPI :  Patient Was Apparently Asymptomatic Till 2014 ; 2014 - Patient Had Fever Associated with Cough for which he went to Hospital & Was Diagnosed to Have ? Pneumonia with DENOVO DM2 & Was Prescribed with OHAs ( Tab.METFORMIN & Tab.GLIMIPRIDE ) 6 Months Back - Patient Had Fever Associated with Cough for Which he Went to Hospital & Said to Have High Sugars along with Lung Infection ; Got Treated & Discharged in a Hemodynamically Stable Manner.Started using insulin for Diabetes Since Then  20 Days Back : Patient Had Fever with Cough ; For Which He went to Hospital & Suspected to Have TB But Reports Turned out to be Negative & Patient Discharged as LAMA & When He Returned Home 3 Days Back He Gradually Developed Altered Sensorium & Couldn't Recognise His Attendants Past History :
Read more
Image
  CASE-1 1) Pulmonology (10 Marks)    A) Link to patient details:     https://soumyanadella128eloggm.blogspot.com/2021/05/a-55-year-old-female-with-shortness-of.html   Questions:   1) What is the evolution of the symptomatology in this patient in terms of an event timeline and where is the anatomical localization for the problem and what is the primary etiology of the patient's problem?   2) What are mechanism of action, indication and efficacy over placebo of each of the pharmacological and non pharmacological interventions used for this patient?   3) What could be the causes for her current acute exacerbation?     4. Could the ATT have affected her symptoms? If so how?     5.What could be the causes for her electrolyte imbalance?   1)EVOLUTION OF EVENTS OF SYMPTOMATOLOGY    1)shortness of breath which is on and off since 20 years.     2)pedal  edema since 15 days up to the level of the ankle, pitting type. 3)facial puffiness since 1
Read more

70 year old female with complaints of slurring of speech

Image
  M. Sri Nithya Roll. No-86 Unit-2 70 year old female was brought to the casualty with complaints of slurring of speech in morning for 15 minutes at 8am following which patient returned to normal  No loc, seizure like activity, drooling of saliva,deviation of mouth ,no weakness of limbs, No H/O Fever; Headache; Giddiness No H/O Chest pain; orthopnea; sweating, palpitations;, PND. No H/O Burning Micturition No H/O loose stools; Nausea, Vomiting Was treated by local practioner with unknown medications Patient continued her daily routine cooking,eating At around 7pm patient developed similar episode lasting for 15 minutes Was taken to Mothkur for treatment and was given clopidogrel a ,neurobion  ( no investigations were done) On the way back to the home , patient developed deviation of mouth ,uprolling of eyeballs, dif haficulty in moving lower limbs with decreased responsiveness Brought to our hospital for further management  Daily wage labourer ( agriculture) Stopped working 20years bac
Read more