PreFinals

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Covid case

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Questions :- 1) What are the potential bioclinical markers in this patient that may have predicted the prolonged course of her illness?  The potential biochemical markers in this patient are Elevated levels of LFT- Total bilirubin : 1.24 mg/dl          Direct bilirubin : 0.67 mg/dl          SGOT : 73 units/ lit          SGPT : 80 units/ lit          ALP : 342 units/ lit RFT Blood urea : 34 mg/dl          Sodium : 150 meq/lit          Potassium : 5.2 meq/lit SERUM LDH 571 units/lit FBS 332 mg /dl
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Infectious disease (gastro)

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 1.Which clinical history and physical findings are characteristic of tracheo esophageal fistula 1 ans:clinical history and physical finding in this paient that suggest tracheoesophageal fistula is that ,Cough occurs on taking food and liquids  (which was initially non productive then associated with sputum which is white in color , moderate in quantity and non foul smelling) 2) What are the chances of this patient developing immune reconstitution inflammatory syndrome? Can we prevent 2 ans: Immune reconstitution inflammatory syndrome (IRIS) occurs in two forms:  "unmasking" IRIS refers to the flare-up of an underlying, previously undiagnosed infection soon after antiretroviral therapy (ART) is started;  "paradoxical" IRIS refers to the worsening of a previously treated infection after ART is started. *Patients with mycobacterial disease at the time of initiation of ART are at higher risk of developing IRIS with an approximate risk of 15%. Pa...
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Infectious diseases

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QUESTION:  What is the evolution of the symptomatology in this patient in terms of an event timeline and where is the anatomical localization  for the problem and what is the primary aetiology of the patient's problem? 1.     3 years ago- diagnosed with hypertension 2.     21 days ago- received vaccination at local PHC which was followed by fever associated with chills and rigors, high grade fever, no diurnal variation which was relieved on medication 3.     18 days ago- complained of similar events and went to the the local hospital, it was not subsided upon taking medication(antipyretics)  4.     11 days ago - c/o Generalized weakness and facial puffiness and periorbital oedema. Patient was in a drowsy state 5.     4 days ago-   a.     patient presented to casualty in altered state with facial puffiness and periorbital oedema and weakness of right upper limb a...
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