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Showing posts from September, 2021

GM Case history - 3

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  A 60 year old man, carpenter by occupation came to the casuality with chief complaints of  Loss of speech since morning  HISTORY OF PRESENT ILLNESS :  Patient was apparently asymptomatic 3 years ago  3 years back, where he attended a family function and had an binge of alcohol consumption, after a few hrs of consumption, he suddenly developed deviation of angle of mouth towards left side, for which the attenders took him to a local hospital .He was treated conservatively (? Medication unknown) and adviced to use those medications for 1 week.After a week ,his deviation of mouth was resolved.There in the hospital he was diagnosed of having a renal problem ,as B/L pedal edma(pitting type) and facial puffiness was found to be present on examination.Even his creatinine & blood urea was found to be elevated .He was given lasixs and sodium bicarbonate (OD). From then he used to have similar episodes of  B/L pedal edema and facial puffiness which used to get resolved after using medicati