Prefinal examination
Final exam long case
19/01/2023 Chief complaint : A 62 year old male patient of resident battugudem, farmer by occupation came to opd with a complaint of decreased appetite, vomiting, nausea, facial puffiness, pedal edema, distension of abdomen and decreased urine output from 15 days. History of present illnesses: patient was apparently Asymptomatic 10 years back then he had fever, difficulty in having food and was taken to hospital and incidentally found to have diabetes mellitus and started on conservative management Patient was asymptomatic 3 years back and he noticed pedal edema, facial puffiness and was not treated for it And later 2 years back the patient was Unconscious and unable to talk and was presented to local RMP doctor and was diagnosed the condition as renal failure. And conservative treatment but was not controlled. Then he went to government hospital nalgonda. 2years back he was diagnosed as hypertension 15 days back he was suffering from vomitings, nausea, fac...
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