Medical blog by 76. Spandana Patil

   A 35 yrs female ,came to OPD with complaints of swelling in abdomen since 15 days.   History of present illness:   Patient was apparently asymptomatic 15 days  back . She developed fever which is mild onset ,gradually prognosive associated with chills and rigor. patient has suffered from loss of appetite from 10 days . Past history: No history of chest pain ,Hypertension palpitations,cold ,cough  no history of diabetes,epilepsy,TB,tyroid disorder.    Personal history: Diet-mixed Appetite-loss of appetite  Bowel and bladder-irregular  Sleep-normal  Addictions none  Family history: No history of DM/HTN/TB/ asthma/ thyroid  No similar complaints in the family previously  General examination: -Patient is conscious,coherent,and cooperative   No pallor or cyanosis Or icterus or clubbing  No lymphadenopathy  Malnutrition is observed ,  No Dehydration or odema  Vitals: Temp -99.5 C/F Pulse rate -112/min  Resp ratec-18/min Bp-180/60  Spo2-99% Systemic examination: 1.cvs-inspection-chest wall

 Essay - Acute pancreatitis   Short notes  3. Dengue  6. Cardiogenic pulmonary edema  10. Ascites 7. Rheumatoid Arthritis                                                        8. Leptospirosis                           9 .Heart failure                                                                                      4. Cushing syndrome ( short answer-4 marks )  and  14 .Renal artery stenosis  ( very short answer -2 marks )                   15. Acute kidney injury  And  17. Micro and macro vascular complications of diabetes  12 .Drug induced liver injury  16. Oral hypoglycaemic agents  And  19 .Metabolic acidosis  20 . Iron deficiency anemia  And  11. Pyrexia of unknown origin