2nd internal assessment

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5/10/21

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45YR FEMALE WITH FEVER, VOMITINGS AND SHORTNESS OF BREATH  This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent.  Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs.  This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box is welcome.” I've been given this case to solve in an attempt to understand the topic of "patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with a diagnosis and treatment plan. A 45year female Presented with  C/O Fever since 5 days C/O Vomitings since 4 days C/O Headache since 4 days C/O Shortness...
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GENERAL MEDICINE MONTHLY ASSIGNMENT

  BELOW IS THE LINK FOR THE MONTHLY ASSIGNMENT GIVEN: https://medicinedepartment.blogspot.com/2021/08/medicine-paper-for-aug-2021-bimonthly.html?m=1 BELOW IS THE LINK FOR LONG AND SHORT CASE: https://2018- 21batchpgy3gmpracticals. blogspot.com/2021/08/ 18100006003-case- presentations.html?m=1 Question :01  Long case :  This is the case of :  Acute Glomerulonephritis, likely due to Secondary Amyloidosis due to Chronic Poorly Treated Seronegative Erosive Rheumatoid Arthritis. Dilutional Hyponatremia secondary to Anasarca due to Glomerulonephritis Hyperuricemia likely due to decreased Uric Acid Excretion Precipitating Gouty Arthritis Anemia of Chronic Disease secondary to Poorly Treated Rheumatoid Arthritis. Treatment given to the patient is :   Free water restriction for Hyponatremia Tab. PREDNISOLONE P/O 20 mg OD  Tab FEBUXOSTAT P/O 80 mg OD  Haemodialysis for worsening renal dysfunction As this is the long case each and every point is taken into c...
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GENERAL MED CASE PRESENTATION

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   GENERAL MEDICINE CASE PRESENTATION  A 45 yr old female agriculture by occupation was brought to the casualty. CHIEF COMPLAINT:  Abdominal pain  Vomiting Fever Burning micturition Cough SOB HISTORY OF PRESENT ILLNESS:- * Patient was asymptomatic before 3 days after which she developed abdominal pain ,vomiting ,fever associated with cough ,Burning micturation for the past 3 days.After which she developed SOB ( grade 2-3), pyelonephritis  and  came to casualty in our Hospital. PAST HISTORY:- k/c/o  HTN since 1 yr. NOT k/c/o Diabetes,TB PERSONAL HISTORY:- * Alcohol intake occasionally. *Bowel and Bladder movements are Normal. FAMILY HISTORY:- *No Familial History. GENERAL EXAMINATION:- *No icterus and pallor. *Pedal edema is present. * No lymphadenopathy  ON EXAMINATION:- BP: 100/70 mm Hg PR: 86bpm Temperature: 98.6 F RR: 18cpm SpO2: 92 % INVESTIGATIONS:- CBP:- Serum Electrolytes(Na,K,Cl): - Blood Urea:- Blood Sugar-Random:-    LFT:-...
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