prefinal paper 1

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INTERNSHIP ASSESSMENT

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A 50 year old male who's a resident of nakrekal,labourer by occupation came to the opd to get admitted in de-addiction centre. HOPI  :  Patient was appareantly asymptomatie 4 years back ,then he developed burning type of pain in the right and left hypochondrium,3 to 4 episodes for which he went to a local hospital and got medications(He's a chronic alcoholic), and the symptoms subsided, 1 year back he was found to have high Sugars at a government camp at his place used OHA's for 2 months & stopped medication for the next 2 months Then he developed complaints of Generalized weakness, polyuria for which he visited a private hosp at Nakrekal found to Have high sugars.He was on insulin since then (took Insulin Irregularly)  .  Came to the Kims de-addiction centre for admission but they refered to medicine department for uncontrolled glucose levels(550mg/dl),10days back he had a history of minor injuries to legs which are not healing and associated with itching. PAST ...
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