60yrs female pt complaints with nausea since 20 days and diarrhea since 1 yr

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abdominal pain with incontinence of loss of bladder control

Chief complaints: Patient complaints of abdominal pain(epigastric region ) since 1 yr  C/o Incontinence of loss of bladder control since 7 days C/oBurning of urine since 2 days Pain relieved by taking medication but medicine was not continuously used C/o numbness in legs since 7 days C/o weakness and body pains since one month History of presenting illness: H/o trauma to right hand 6 months back  No c/o cough and weight loss  No c/o pedal edema  Past history: She had a surgery done in right hand  C/o heavy breaths and weakness before 6 months  Where she got admitted  Negative history: C/o HTN (low BP) No h/o diabetes No h/o cad No h/o tb  No h/o asthma Systemic examination: No tenderness No palpable mass Hernial orifices : normal Liver : not palpable Spleen: not palpable Personal history: Married Occupation: labour work Appetite: decreased Mixed diet Bowel: regular Micturition: normal ( loss of bladder control with burning sensation) No known alle...
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dementia with epilepsy

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Chief complaint: 78 yr old male patient complaints of dementia with hypertension Hypertension since 9 months Dementia with epilepsy of 5 episodes History of present illness: Patient was apparently asymptomatic 6months back then he developed forgetting things which are usually done everyday . He doesn't remember anything after the seizures and usually talks about past work  Patient was usually thinking and mumbling about certain things which were done in the past and couldn't do his own things like urine and cleaning  Incontinence of loss of urine control is seen  Patient was shown to neurologist and medication were given accordingly  He had suspected of bradycardia and hypertension so decrease the medication dose 3 days back  Patient also had fever 3 days ago  C/o tremors since 3 to4 yrs Slurring of speech ,relevant, coherent 2 yrs Mumbling about not doing work since 6 months continuously Negative history: No h/o head injury No h/o hearing of voices,self ta...
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rheumatoid arthritis with ckd ?

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Male patient of 70 yrs admitted in general medicine department  Occupation: labour work  Chief complaints: C/o fever since 10 days (high grade )relieved with medications  Associated with chills and rigors mainly at night  Swelling and pain in the hands,metacarpophalangeal joints ,knee joint )  He couldn't move and walk properly History of present illness: Patient was apparently asymptomatic 10 yrs back then he developed history of pain in joints H/o trauma onto his middle toe 1 month back  No h/o cough   h/o weight loss  Decreased urine output C/o Lower limb swelling since 1 yr  Pedal edema with pitting type ( most prominent) Negative history: No history of asthma,TB,diabetes mellitus , epilepsy,CAD,thyroid disorders History of past illness: H/ o chronic use of nsaids abuse since 1 yr for joint pains  Treatment history: Not significant Personal history: Married Occupation: labour work Appetite : lost  Mixed diet  Micturiti...
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