2nd internal exam


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A 76 year old female with pedal edema

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  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 comments on 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 prognosis A 76 year old female came to the general medicine OPD with CHIEF COMPLAINTS   Pedal edema since 4 days Shortness of breath since 4 days HISTORY OF PRESENT ILLNESS   Patient is apparently a...
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66 KVN SUDHEER

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CHEIF COMPLAINTS:  Decrease in urine output (since 10 days), pedal edema ( since 1 month ) , SOB (  Grade 2-3 ) , swelling of lips (since 3 days ) HOPI:  •Patient was apparently asymptomatic 11 years back,  then her parents noticed she was eating alot and  had increased  frequency  of   urination  •she was diagnosed with TYPE 1 DM  ( since then on insulin ) •Patient became drowsy and brought to hospital , diagnosed with DKA ?? and on MIXTRAD (18 units morning , 12 units night ) • 1 year ago she got married and 6 months ago she was brought to hospital as she c/o fever , not eating food for 5 days - diagnosed as HYPERTENSIVE (on TELMISARTAN 40 mg since then )  •8 months ago she was UPT positive and had an abortion 2 months ago as foetal cardiac activity was absent  H/O PAST ILLNESS :  K/O DM , HTN  No H/O ALLERGY, ASTHMA, TB  PRESENT HISTORY:  Diet: mixed Appetite: normal Bowel and bladder movements :Norm...
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66 KVN Sudheer kumar

  GENERAL MEDICINE  ASSIGNMENT MONTHLY ONLINE ASSIGNMENT Question 1:- LONG CASE This is a case of Acute Glomerulopathy (Glomerulonephritis / Nephrotic syndrome) REVIEW >I appreciate the diagnostic approach given in the blog, it paid attention to all the possibilities, ruled out one by one and arrived to a final diagnosis. >The localization of acute problem and chronic problem were also explained which I found very helpful >The examination details are explained very well >Evolution of symtomatology was described in detail manner.  >There was also a detailed explanation of the patient's acute and chronic problem.  There are 5 pedagogic questions were explained in the case which was given pinpoint explaination related to the case SHORT CASE 2:- This is a case of 1. Idiopathic Parkinson's Disease Stage 1 with denovo HTN. 2. Multiple System Atrophy - Parkinsonian Type (MSA-P). REVIEW >Problem representation was also well described. >The case was ...
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