medicine assignment

This is a case of 78 yr old female who was brought to the hospital with history of giddiness since 3 days  She had history of fall 3 days ago following with she had an injury on left hand. She was unable to walk since 1 day She was having drowsiness & vomitings since today morning.  • HOPI √She was apparently normal 8 days back when she had giddiness and history of fall , following which she sustained injury to the left hand where she developed swelling, blebs  and had difficulty in walking. √She had complaints of vomitings 2 episodes with food as content. √she was given Ceftriaoxne for 3 days by local RMP.  • PAST HISTORY √ She has a history of admission in hospital in February, with complaints of vomitings, altered sensorium no clear history about the treatment is known. √ history of diabetes since 10-15 years and is on  √history of  hypertension since 10 years and is on √not a k/c/o asthma, Tb, CAD, epilepsy TREAMENT HISTORY:- She was on unknown medi...

General medicine case Intern online assessment -General medicine During units duty Case 1 https://amitsharma1996.blogspot.com/2022/09/27-yr-old-student-with-fever-and.html My orientation around this case: 1.What could be the possible cause if his anemia? Ans: possibily vit - B12 deficiency 2.Why vit- B12 deficiency and not some other cause?  Ans: 1)his peripheral smear showed few macrocytes.  2) patient consumes low non-veg diet. 3) his serum iron and serum ferritin level was in normal range. 4) his vit-B12 was lower than normal range. Case 2 https://amitsharma1996.blogspot.com/2022/09/a-19-year-old-male-with-fever-and-body.html Case 3 https://amitsharma1996.blogspot.com/2022/09/a-84-yr-old-male-with-tremors-swelling.html My orientation around this case:  1.What could be the reason for he being suspected for Parkinson's?  Ans:Due to presence of tremors, slowness of movement, loss of balance.  2.cause of his cellulitis ?  Ans: injury due to reccurent fall....