2nd Internal Assessment
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30 year old male with ALI, AKI and MI
A 30 year old male patient who is from Suryapet and a farmer by occupation presented to the OPD on 29/11/22 with Chief Complaints of •Vomitings and abdominal discomfort since 3 days •SOB since 3 days HOPI- The patient was apparently asymptomatic 12 days back(19th November'22) then he developed Yellowish discoloration of eyes which was associated with facial puffiness first and followed by pedal edema which was pitting type. Then on 23rd he went to a private hospital where he was investigated and was diagnosed to have jaundice. On 24th he took a herbal medicine(Plants unknown) of 100 ml (half of a disposable glass) . On 25th he developed Vomitings which were sudden in onset, 2 to 3 episodes per day initially which eventually progressed to 6 to 7 episodes per day on the day of presentation. Content was bilious vomiting (green in color) with no aggravating and relieving factors. Patient was on complete liquid diet during these 3 days. Vomitings were associated with...