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Assignment-5(Blocks 3&4)
Answer all the questions
Course Code: MME-105
Assignment Code: MME-105/AS-2
Maximum Marks: 100
Due Date: September 15, 2024
1) Answer the following questions within 750 words. (2X20=40)
a) A 70-year-old man who has been hypertensive for the past 20 years presented with sudden headaches, vomiting, and left-sided weakness of 8 hours duration. He has been poorly compliant. On examination, he has a blood pressure of 200/130, is conscious and can obey simple commands and has left hemiparesis grade 1-2. He also has left hemisensory impairment. There is no neck stiffness. What is the likely diagnosis and how would you manage his condition?
b) Mr. S, an 82-year-old gentleman, who was diagnosed as having cognitive impairment. He also had Type 2 diabetes mellitus and hypertension controlled on oral medications. He is passing less urine for the past two days. His CRP is 130 and his urine dipstick is positive for nitrites. For the past 3 days, he is having worsening confusion and presented to the emergency. He was living with his son and he is dependent on his family for his all activities of daily living. What is your diagnosis and how will you proceed? Give a differential diagnosis for dementia.
2) Answer the following questions within 300 words. (10X6=60)
a) Palliative care for heart failure
b) Resistant hypertension
c) Management of aortic insufficiency
d) Medications used in thrombolytic used in acute ischemic stroke. What is their mechanism of action?
e) How do you evaluate and manage Psychosis in the Elderly?
f) Adverse effects of medicines used in dementia management.
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