ELOG GENERAL MEDICINE BIMONTHLY ASSIGNMENT AUGUST 2021 August 24, 2021 LUCKSHETTY NITIN KUMAR Roll no 70 2019(3rd sem) This blog is an assessment for questions linked below: https://medicinedepartment.blogspot.com/2021/08/medicine-paper-for-aug-2021-bimonthly.html?m=1 QUESTION-1 **Critical appraisal of the captured data and peer review https://2018-21batchpgy3gmpracticals.blogspot.com/2021/08/18100006003-case-presentations.html?m=1 https://youtu.be/953auU42R0k LONG CASE: A 44 year old man presented with a 3-day history of bilaterally symmetrical rapidly progressive generalized edema. Evolution of symptomatology is well described in the illness.Proper past ,personal ,family ,surgical, medical and immunization histories are provided. Differential diagnosis for the conditions he's been in are given . Classification criteria for rheumatoid arthritis is provided which gives us idea in which category patient is in based on points.The possible scenarios that can be are described in brie
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Unit 3 admission A 75 year old male patient came to casuality in unresponsive state since 1 hour.Patient was having fever since 10 days . Complaints- HOPI-patient was apparently - - asymptomatic 10days back then he had insidious onset of fever - low grade intermittent ,releived with medication, - not associated with any chills and Rigors. Yesterday morning he woke up,done his routine works and was normal till evening ,went to sleep and they tried to wake him up,as the patient was unresponsive they brought him to our hospital. 4 months back patient wide was demised ,from then he was not interacting actively with his family members and having excessive sleep Patient attendees are saying that patient had h/o wt loss Patient had h/o left sided scrotal swelling since 6 years Past illness- No h/o diabetes ,HTN,Asthama ,TB and epilepsy Present history- Appetite -decreased since two months Sleep -excess Bowel and bladder movements -normal nd regular Addictions -none On Examinatio