1st Internal Exam Paper

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GM case -3

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gm case 4

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​ Hi,I am D.Samhitha 3rd BDS student.This is an online elog book to discuss our patients health data after taking his consent.This also reflects my patient centered online learning                         Case History Chieft complaints: 63 yr old male from pedhevulapalli came to OPD 8 days ago with  c/o-swelling of face and legs since 1 month Fever (on and off)since 2 months History of present illness: Patient was apparently asymptomatic 2yrs back.Then he had an attack of left hemiparesis.First he developed stiffness in his left wrist and then he developed stiffness in his left hand and left leg he has no sensation in his left limb.He immediately reached out to the hospital in miryalaguda and treatment was given accordingly. From then he is on clopidogril and calcium tablets. After this attack he complains of decrease of power in his left upper and lower limbs. After few days of this attack he developed black patches on his hands, abdomen and legs,and then progressed to all over body.
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