General medicine -theory answer sheet
general medicine answer sheet - total 23 sheets
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2363F Urinary incontinence 4 years ,RA on DMARD 25 years
A 65 year old Hindu woman a housewife a resident of west bengal having a Bsc degree and belonging to middle class according to modified kuppuswamy scale presented to the general medicine OPD with chief complaints of -constipation since the past 3 years -continuous dribbling of urine since the past 4 years History of presenting illness Patient was apparently asymptomatic 26 years ago , when she developed continuous dull aching pain in both the knee joints , which was exaggerated in the mornings and was bearable throughout the day , it was aggravated on walking and relieved on rest associated with redness around the knees no history of trauma no history of evening rise of temperature no history of cosmetic deformity(varicosity, skin discoloration) -she underwent a bilateral knee replacement for knee stiffness -is on DMARDS since 25 years patient was incidentally diagnosed with hypertension 20 years ago during a follow up visit -she was started on antihypertensive medicat
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