PREFINAL EXAMINATION PAPER 1

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18 year old female with FEVER AND POLYARTHRITIS

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February 2,2022 18 year old female with FEVER and POLYARTHRITIS.  A 18 year old female presented to the OPD with cheif complaints of FEVER  2 months back  , after which fever  was subsided, and there was pain in the small joints PIP, DIP, MCP etc , vomitings  2 months back for 1 week, headache along with fever episodes since 2 months  , pain in abdomen since 20 days HISTORY OF PRESENTING ILLNESS  Patient was apparently asymptomatic 2 months back then she developed fever, following which fever was subsided and the patient started having pain in the small joints PIPI,DIP,MCP joints,subsided with medication and relapsed after stopping medication. Now she has fever with multiple joint pains ( small joints of hands,elbow,shoulder,) .Patient had history of migratory polyarthritis ,history of dragging type of pain in the both lower limbs. ( Ankles and joints of foot are spared). History  of  decreased appetite since 2 months  ,history of pain a...
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65 YEARS OLD FEMALE WITH SYNCOPE .

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