MEDICINE PREFINAL PAPERS 1 AND 2

INTERNAL ASSESSMENT ELOG

INTERNAL ASSESSMENT ANSWERS Q1) https://rishik37.blogspot.com/2021/08/gm-elog-case-7.html Q2) http://mahithguduri63.blogspot.com/2021/09/myxedema-coma.html 3 What is the diagnostic approach of young onset hypertension and it’s treatment. http://keerthykasa80.blogspot. com/2021/09/a-35-year-old- female-with-hypertensive.html 4) How do you clinically localize the anatomical level of lesion in spinal cord diseases. http://sowmya9.blogspot.com/ 2021/08/21-year-old-with.html 7) What are the causes, pathogenesis and differential diagnosis of ascites. http://saichennuru.blogspot. com/2021/09/45-year-old-male- patient-with-back-pain.html 6) Describe about megaloblastic anemia 8)Approach to acute pancreatitis 5) Causes,diagnosis and treatment of atrial fibrillation. ...

A 63 YEAR OLD MALE WITH ANASARCA AND SOB

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 63 year old male came to the casuality with the chief complaints of pedal edema since 4 days and facial puffiness since 2 days. He also complained of shortness of breath, decreased urine output and decreased appetite since two days HISTORY OF PRESENTING ILLNESS: Patient was apparently asymptomatic four days ago when he developed facial puffiness which was sudden in onset and was gradually progressive. Patient also developed pedal edema of pitting type ,2 years ago which was insidious in onset and was persistent ,but gradually progressed to the present state four days ago. Patient also complains of SOB which was insidious in onset, gradually progressed from grade 2 to grade 3 NYHA. No history o...

67 YEAR OLD MALE WITH SOB AND PEDAL EDEMA

Daily routine: He is a farmer by occupation. Resident of Miryalagudem Stopped working 2 years ago due to right femur fracture and old age. Wakes up at around 7:00 am in the morning. Eats breakfast by 8:00 am. Goes to his farm and monitors work. Then comes back to his house in the afternoon and has lunch by 1:00 pm. Sleeps for a while in the afternoon He has a cup of tea in the evening at around 5:00 pm , watches TV for a while and has dinner at around 8:00 pm and goes to bed at around 9:30 pm. Chief complaints: Patient was brought to casualty with c/o shortness of breath Grade III MMRC since 20 days HOPI Patient was apparently asymptomatic 1 year ago when he developed angina and SOB Grade III and went to a hospital in Hyderabad where he was diagnosed with CAD-evolved IWMI MOD LV DYSFUNCTIONLRTI BASAL ATELECTASIS Coronary Angiogram was done through radial route on 15/11/22 - PTCA-STENTING TO MID LAD WITH 2.5X28MM(ALPINE) DONE ON LMCA-NORMAL LAD-TYPE III VESSEL, MID tandem les...

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