13. B.Harika

2. Define cirrhosis of liver. Etiopathogenesis of cirrhosis. Write a brief note of clinical features, diagnosis and treatmentof cirrhosis of liver. 4. Etiology of pleural effusion. Diagnostic criteria of pleural effusion.  5. Diagnosis and treatment of Dengue fever.  6. Clinical features and diagnosis Peptic ulcer disease.  9. Etiology and treatment of pneumonia.  10. Complications of dialysis  11. Ascitic fluid analysis.  14. Treatment of urinary tract infection. 15.Differential diagnosis of fever with rash . 16.Insulin therapy in diabetes mellitus.  17.Antihypertensive drugs in chronic Renal failure.  18. Types of intracranial hemorrhage.

This is an online e log book to discuss our patient's de-identified health data 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 patients clinical problems with collective current best evidence based inputs.  CASE :  Date of admission- December 17, 2021 A 29 yes old male patient came with chief complaints of pain in abdomen since 4 months with frequent vomiting. H/o present illness- Patient was apparently asymptomatic 4 months back and then he had a burning type of pain in abdomen(epigastrium) radiating to the chest and then with frequent vomitings, 2-3 times per day after taking meals. He had a burning micturition and while passing stools. So whenever he had a pain he takes tablet pan 40mg medicine and feels relief. Does he diagnosed to have ( ? Gastritis ). In 2016 patient visited to hospital with similar complai

  54 yrs old male patient with acute kidney injury secondary to left lower limb cellulitis December 05, 2021 54 years old male patient came with chief complaints of shortness of breath and left lower limb swelling since 5 days . H/o present illness:- Patient was apparently asymptomatic 5 days back and then he had a injury to his left leg followed by itching of leg and developed left lower limb swelling associated with shortness of breath ( grade II- III) according to NYHA  classification. No history of chest pain/palpitations. No history of chronic cough/hemoptysis In 2016 patient went to hospital  due to pedal edema where patient had ischemic encephalopathy followed by 4 sessions of dialysis was done and discharged not as any medications after that. Past history:- Patient is not a k/c/o Dm, asthma, epilepsy hypertension. Personal history: Diet-mixed  Appetite-decreased Bowel and bladder movements-regular Daily alcohol consumer 5 years back,stopped 5 years back and recently he had 100

  November 24, 2021 70 YEAR OLD MALE WITH ALTERED BEHAVIOUR ?HYPONATREMIA 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." CASE:   A 70 year old male came with chief complaints of :  1) Altered behaviour since afternoon. 2) Involuntary movements of the both upper limbs and lower limbs since 4pm along with loss of speech and involuntary movements of the mouth.  HOPI:  Patient was a security guard by occupation in Hyderabad 20 years back and his sons brought him to their village 20 years back and was doing nothing

 12th Oct  A  70year old male resident of ghanakonda came in to casualty with chief complaints of Altered sensorium since 4am in the morning.patient was normal till 6pm in the night,then had dinner and felt uneasiness and took tab.GLIMI M2at around 7pm and had altered sensorium at around 8pm,then went to local hospital and found he was in hypoglycemia,then discharged at around 10pm.at 3:30am in the morning,patient attenders saw that patient was making gurgling sound and brought to KIMS for further evaluation. PAST HISTORY : K/c/o hypertension (on tab.TELMA met xl 40/50)po/od K/c/o DMT2(On T.GLIMI ME /PO/OD) Not a k/c/o  CAD, asthma, TB, epilepsy. PERSONAL HISTORY: Patient has mixed diet with normal appetite and adequate sleep.  he has normal bowel movements and bladder filling.  No addictions.  No significant family history or allergic history.  GENERAL EXAMNATION: No pallor, icterus, cyanosis, clubbing, lymphadenopathy, pedal edema.  VITALS: BP: 100/60 MMHG,  PR: 100bpm  Temp: 98.2°F,

   A 74 yr old female with fever September 21 , 2021 This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent.  Unit 1 admission  Amc Date of admission: September 14 , 2021 A 74 year old female came with complaints of fever since 4 days,generalised weakness since 4days  two episodes of vomiting 1 day ago  History of present illness: Pt was apparently asymptomatic 4 days ago,c/o fever,highgrade,intermittent,not associated with chills and rigors  Associated with generalized weakness, two episodes vomitings,subsided on its own  Shortness of breath on exertion then progressed to shortness of breath on rest    pericardial effusion 1year ago,diagnosed,on medication for 6 months later subsided No h/o orthopnea, dyspnea No pain  abdomen,loose stools Past history:  Dm since 3 years hypothyroidism since 10 years on regular medication Personal history: Diet:mixed Appetite:normal Bowel,Bladder:regular No addicti