Prefinals paper 1

 

























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This is 38 year old female .homemaker by occupation  was brought to casualty with a c/o - C/o paroxysmal involuntary opening of mouth and involuntary deviation of head and neck to both sides on and off from yesterday (10:30 am.on  03/05/2023) HOPI Patient was apparently asymptomatic  till yesterday morning. Suddenly she developed paroxysmal involuntary opening of mouth and involuntary deviation of head and neck to both sides on and off No H/o weakness of limbs No H/o fever No H/o loose stools  Patient underwent TAH +BSO 3days back(1/07/2023)(indication-anterior submural fibroid) Past H/o Similar complaints 15 months back after 2 nd  baby delivery  by LSCS Is a N/k/c/o  HTN,DM,CAD,Epilepsy, asthma  Underwent 2 previous LSCS(in 2020 and 2022) FAMILY HISTORY  not significant PERSONAL HISTORY  mixed diet Normal appetite  Regular Bowel and Bladder movements Sleep -disturbed (she had a elder brother who died in RTA 5 years back from then ...
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