General Medicine Online Assessment

Name - Bhavya Ranjan Roll - 17  Batch - 2019  A 50 year old housemaker, who is a resident of Nalgonda came to OPD with chief complaints of- Heavy and prolonged menstrual bleeding since 1 month. History of presenting illness   Patient was apparently asymptomatic 1 month ago , then she developed 1 month amenorrhea, followed by heavy and prolonged cycle, continuous bleeding for 11 days, associated with clots of size 5×5cm. Bleeding subsided on medication. 5 days back she passed a clot of size 3×3 cm two times. H/o generalized weakness since 1 month. H/o weight loss since 1 year. H/o loss of appetite since 1 month. No h/o abdominal distension, post costal bleeding, fever , cough and cold. History of past illness K/c/o HTN since 20 years  K/c/o DM since 2 years  No TB, Asthma, CAD, Seizers. Treatment history On medication for HTN and diabetes Personal history  Appetite- decreased  Diet - mixed  Bowel and bladder - normal  Micturition- burning  Any known allergens - none Addictions- none  Fa

Name - Bhavya Ranjan  Roll - 17  Batch - 2019 A 60 years old male patient, resident of Nakrekal who is farmer by occupation came to opd with chief complaints of- - tightness of abdomen since 1 week  - shortness of breath since 1 week -  decreased urine output since 15 days  HISTORY OF PRESENTING ILLNESS  Patient was apparently asymptomatic 15 days ago when he developed high grade fever which was associated with chills and rigor. A/w decreased urine output and buring micturition with hesitancy. Patient also complaints of blotting in abdomen which is not associated with food intake, belching and regurgitation but a/w shortness of breath.  He developed Anasarca. B/l pedal edema present. Not a/w pain in abdomen, nausea, vomiting and loose stool. Not a/w chest pain, palpitations and cough. History of  past illness   K/c/o diabetes mellitus type 2 since 10 years a/w diabetic foot since 1 month. Gangrene of big toe was present 2 years ago. Diagnosed with anemia 1 year back. Not a k/c/o HTN, a