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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Ascites

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  DATE OF ADMISSION - 22/06/22 CHIEF COMPLAINTS - 45 yr old female came to OPD with chief complaints of swollen legs,leg pain,distended abdomen. HISTORY OF PRESENT ILLNESS  -C/O abdominal distension since 2months - pedal edema and shortness of breath since 2months. -k/o decreased appetite and loss of weight. HISTORY OF PAST ILLNESS   k/c/o DM and on INJ mixtard insulin k/c/o hypothyroidism and on T.Thyronorm k/c/o HTN and on T.Telma. TREATMENT HISTORY k/c/o DM,HTN Not a k/c/o CAD,TB,asthma,chemo,radiation and blood transfusion. PERSONAL HISTORY Mixed diet Appetite Normal Sleep adequate Bowel and Bladder movements regular. FAMILY HISTORY Not significant  PHYSICAL EXAMINATION Temp- afebrile BP-130/70 mm hg Pulse rate-98/min Respiratory rate-22/min Spo2-98% GRBS-540mg% -No signs of pallor,cyanosis,lymphadenopathy,icterus. SYSTEMIC EXAMINATION  CARDIOVASCULAR SYSTEM • S1, S2 heard • No murmurs RESPIRATORY SYSTEM: • NVBS heard •Position of trachea - central •Breath s...
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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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