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Assignment-2 (Blocks 3 & 4)
Course Code: MME-106
Assignment Code: MME-106/AS-2
Maximum Marks: 100
Due Date: November 30, 2024
Answer all the questions

1) Answer the following questions within 750 words. (2 X 20 = 40)
a) A 65-year-old male patient presented in the OPD of a district hospital with extreme low backache and generalized swelling of the body. The patient had to use a stick for support, looked pale, complained of extreme fatigue and loss of weight. Patient also gave history of long-standing Diabetes mellitus and hypertension. The young doctor on duty made a differential diagnosis of chronic kidney disease of old age. He attributed the anemia to malnutrition. He asked for routine investigations: complete blood count, Kidney and liver function tests.
b) An elderly man of age 70 years presents to the emergency room with acute urinary retention of 12 hours duration. He has a history of thin stream of urine and urgency over the past 3 years. What may be the probable diagnoses? Name two investigations you would want to be done in this patient.

2) Answer the following question within 300 words. (10 X 6 = 60)
a. How important is the role of a family physician or the primary care physician in the management of the older cancer patient? Enumerate some means by which continuity of care can be carried out.
b. Risk factors of lung cancer and investigations required
c. Multiple myeloma in the elderly
d. Emergency room assessment of a case of accident
e. Lower gastrointestinal bleed in the elderly- causes and investigations.
f. Drugs to be used in managing delirium in the elderly

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