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Kuhelika Puja
Kuhelika Puja

MBBS, FCPS, MD

| Mar 29th, 2024, 1:44:40 PM

istory of Present Illness A 28-yr-old man comes to the outpatient clinic for evaluation of a lump in his right testis. About 1 month ago, while taking a shower, he noted a hard area in his right testis that felt "like a marble." He had never noticed...

Kuhelika Puja
Kuhelika Puja

MBBS, FCPS, MD

| Mar 29th, 2024, 1:42:20 PM

istory of Present Illness A 70-yr-old man comes to his internal medicine physician with a complaint of waking to urinate. This has been present for several years but has gradually increased in frequency from 2 times/night to 6 times/night. He is not...

Kuhelika Puja
Kuhelika Puja

MBBS, FCPS, MD

| Mar 29th, 2024, 1:40:32 PM

istory of Present Illness A 31-year-old woman comes to the office because of a 6-month history of nipple discharge. She has noticed that her breasts are tender and both nipples produce milky discharge on applying mild pressure. She has not noted any...

Kuhelika Puja
Kuhelika Puja

MBBS, FCPS, MD

| Mar 29th, 2024, 1:38:29 PM

istory of Present Illness 31-year-old woman comes to the emergency department because of a 3-week history of nausea, reduced appetite, and increased thirst. She says that she is now drinking 3 to 4 liters of water per day with subsequent polyuria....

Kuhelika Puja
Kuhelika Puja

MBBS, FCPS, MD

| Mar 29th, 2024, 1:36:49 PM

istory of Present Illness A 62-yr-old man comes to the emergency department in December because he has had 2 days of progressively worsening pain in his right lower leg between the knee and ankle. He says that several hours before arrival in the eme...

Kuhelika Puja
Kuhelika Puja

MBBS, FCPS, MD

| Mar 29th, 2024, 1:34:16 PM

istory of Present Illness A 20-yr-old woman comes to the office because of a 1-wk history of a feeling she describes as "novocaine wearing off" extending from her waist to her toes on both sides of her body. She says this feeling has been worsening....

Kuhelika Puja
Kuhelika Puja

MBBS, FCPS, MD

| Mar 29th, 2024, 1:26:01 PM

istory of Present Illness A 45-yr-old man comes to the emergency department because of a 6-h history of acute-onset left-sided lower abdominal pain. He describes the pain as starting over his left flank and radiating down toward his groin. The pain ...

Kuhelika Puja
Kuhelika Puja

MBBS, FCPS, MD

| Mar 29th, 2024, 1:19:34 PM

istory of Present Illness An 18-yr-old man comes to the emergency department because he has had left scrotal pain for several hours. He says the pain is accompanied by nausea and began suddenly while he was shoveling snow. He continued shoveling, an...

Kuhelika Puja
Kuhelika Puja

MBBS, FCPS, MD

| Mar 29th, 2024, 12:27:13 PM

istory of Present Illness A 56-year-old woman who is a long-time patient returns to the office for scheduled follow up of her type 2 diabetes and chronically elevated blood glucose. At her last visit 3 months ago, her HbA1C was 7.6%, where it had be...

Kuhelika Puja
Kuhelika Puja

MBBS, FCPS, MD

| Mar 29th, 2024, 12:24:28 PM

istory of Present Illness A 54-year-old man comes to the office complaining of dizziness, along with a headache and a ringing sensation in his right ear. He says these symptoms began gradually about 3 weeks ago and have been progressively worsening....

Kuhelika Puja
Kuhelika Puja

MBBS, FCPS, MD

| Mar 29th, 2024, 12:21:04 PM

istory of Present Illness A 24-yr-old man comes to the emergency department (ED) because of sudden onset of shortness of breath and back pain. Yesterday, the patient was completing a 2-mile run, which he does 2 times/wk, when he suddenly experienced...

Akash
Akash

Mar 29th, 2024, 12:17:22 PM

istory of Present Illness A 47-yr-old woman comes to the office because of an 8-wk history of a cough. She says the cough is never productive, occurs at all times of the day (including at night), and is independent of activity. She is not sure wheth...