General medicine 1 st internals answer sheet

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PATHOLOGY ASSIGNMENT

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T.GOWTHAMI ROLL NO:132 PATHOLOGY ASSIGNMENT TOPIC:    THYMUS TUMOURS, HYPOTHALAMUS TUMOURS, MALIGNANT ENDOCRINE NEOPLASIA. THYMUS TUMOURS: A thymoma is a type of tumour or growth in the thymus gland. Thymic tumors are tumors of the thymus gland. ✓Most thymomas have the potential to behave like a cancer and spread beyond the thymus, but many appear to behave in a benign fashion and are noninvasive.  ✓Less commonly, it appears to have spread beyond the thymus. People sometimes refer to such an invasive thymoma as malignant. MORPHOLOGIC FEATURES: ✓The tumour is a spherical , measuring 5-10 cms in diameter with an average weight of 150 gm. ✓The tumour  has a thick fibrous capsule from which extend collagenous septa into the tumour dividing it into lobules . ✓The tumour consists of neoplastic epithelial cells and variable number of non-neoplastic lymphocytes. GENETIC ABNORMALITIES: ✓They are common in thymoma,most commonly affecting chromosome 6. ✓Thymomas ...
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GM CASE

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T.gowthami Roll no:132(3rd sem) Below is an E-log describing patient centered data approach and discussion regarding patient de- identified health data. CASE (1) A 60-year-old man presented to the casualty with chief complaints of fever and giddiness since 3 days. HISTORY OF PRESENT ILLNESS: ✓ Patient was apparently symptomatic 3 days back. ✓He developed fever which is sudden in onset , continuous and not associated with chills and rigor. ✓No diurnal variations. ✓C/O loss of taste ✓No C/O cold,cough ✓No C/O abdominal pain,nausea,loose stools, vomitings. ✓No C/O burning micturition, decreased urine output, pedal edema,facial  puffiness. ✓No C/O chest pain, palpitations, syncopal attacks . ✓No C/O SOB,orthopnea,PND. HISTORY OF PAST  ILLNESS: ✓Not a known case of  HTN,DM,CAD,CVA ✓Not a known case of epilepsy,TB, asthma, Thyroid disorders. PERSONAL HISTORY: ✓Diet-mixed ✓Appetite- decreased ✓Sleep-adequate ✓Bowel and bladder habits -regular. ✓Addictions-consumes toddy occasion...
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