medicine assignment

Final practical examination : long case A 53 year's old female with complaints of altered sensorium, weakness of right upper limb and lower limb                   June 05, 2022   Amit sharma  HT. No. 1701006007 E-LOGS OF MEDICINE "This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent.Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs.This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment" A 53 year old female came with   altered sensorium ,difficulty in walking ,loss of speech ,weakness of right upper limb and right lower limb. HOPI  : Patient was A known Case of Diabetes Since 11 Years and Hypertensive since 1 Year.   She developed

Final practical examination: short case-  June 06, 2022 Amit sharma Hall ticket no: 1701006007 A 46 year old male came to casuality with c/c of   burning micturation since 10 days, vomiting since 3 days, giddines since 1 day History of presenting illness: Patient was apparently asymptomatic 10 yrs back, after which he complained of polyuria and diagnosed with DM type 2 and was started on OHAs, 3 years back he started taking insulin.  20 days back he developed vomiting(3/4 episodes, non billious, non foul smelling)  Later he complained of giddiness and brought to hospital. His GRBS was raised  No history of fever/cough/cold  No significant history of UTIs Past history: H/o DM  since 10 years.  H/o cataract surgery 3 years back.  1year  back he had injury to his right leg, which gradually progressed to non healing ulcer extending upto below knee and ended with undergoing below knee amputation due to developement of wet gangrene. Not a k/c/o HTN , Epilepsy,TB, Thyroid Not on any medicatio