Posts

Generel medicine 2nd internals answers

Image
1. Anatomical and etiology localization for hemiparesis and further management. 2. Etiology pathogenesis clinical features management complications of acute pancreatitis. 3. Dengue fever clinical features and complications. 4. Cushing syndrome.  6. Cardiogenic pulmonary edema. 7. Rheumatoid arthritis. 9. Heart failure. 10. Ascites  11. Pyrexia of unknown origin  13. Evaluation of low back ache. 15. Acute kidney injury. 19. Metabolic acidosis. 20. Iron deficiency anemia.

GM case Kavitha

Image
 November 9, 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. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input  A 35 year old female patient came to casualty with chief complaint of neck pain and headache since 4 days. Patient was apparently asymptomatic 1 month back. Then she attended a marriage and when she returned home she developed chills and fever. So she visited a doctor in kattangur and was adviced medication. Her fever did not get subsided, so she visited another doctor in nakrekal and she was diagnosed to have mild typhoid and she was adviced medication. After 2 days she developed neck pain and headache. PERSONAL HISTORY - Diet- Mixed  Appetite- Normal  Sleep- adequate  Bladder ha...

13 harika general medici e case

Image
  October 27, 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. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input  A 40 year old male patient came to the casualty with chief complaint of Shortness of Breath worsening since 2 hours Grade 3-4 Palpitations + B/L pedal edema + , pitting type since 10-15days Abdominal distension and  Decreased urine output since 15days H/O fever 1 week back, it's subsided now  Patient was apparently asymptomatic 6 months ago  He then developed an episode of Sob to which he visited a local doctor and he was relieved of his symptoms and he was diagnosed to have  (? LIVER FAILURE ) with yellowish discoloration of eyes and was adviced medication He had in...

General medicine case

Image
  This is an online elog book to discuss our patients de-identified health data shared after taking his /her/ guardian informed consent here we discuss our individual patients problems through series of input from available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs. Date of admission: 21 October 2021 A 60 yr old male who is a farmer by occupation came to the OPD for the dialysis diagnosed as kidney failure 1 1/2 back . He went to local hospital and was diagnosed with renal failure( serum creatinine 3mg/dl) Chief complaint: patient complains of shortness of breath, sleeplessness, swelling of limbs. HISTORY OF PRESENT ILLNESS : •Pedal edema  • Anorexia  • Fever  • Dyspepsia  •  Insomnia  • Serum creatinine levels - increased (2 mg /dl)  • Decreased urine output  Presently on dialysis on MHD  HISTORY OF PAST ILLNESS :  On dialysis since 1 ...

General medicine case 1

Image
 Date of admission:07/08/2021 A 45 year old female presented to the OPD with chief complaints of fever, vomiting,diarrhoea.  History of present illness: Patient was apparently asymptomatic 6 months back before standing illness, then 2 days back patient was presented to casualty with with intermittent fever, vomiting 20 episodes, diarrhoea 20 episodes. There is a sudden loss of weight since 2 months.  It all started 6 months back where the patient had the complaints of fever and has taken the treatment from a local doctor and was fine for nearly 2 months. After 2 months, fever has recurred and this time the patient even complains of weight loss. The normal treatment was done. Then, patient was normal for 15 days. After that patient was admitted in some hospital with fever, vomiting, diarrhoea on 26/7/21.Normal treatment was taken and was apparently better until 31/7/21 as given by patient. On 07/08/2021 was admitted to kamineni due to recurrent fever and 20 episodes of vom...