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GENERAL MEDICINE ASSESSMENT AUGUST MONTH

 M.SNEHA ROLL NO-74 3RD SEMISTER QUESTION-1 : Clinical Appraisal- https://2018-21batchpgy3gmpracticals.blogspot.com/2021/08/18100006003-case-presentations.html?m=1 - The patient's clinical history is well presented in a chronological order by mentioning even minute details in his past. - Drug history is presented which attrevated his symptoms. - Provisional diagnosis is made clear with appropriate explanation regarding the pathology and causes.  - General and Systemic Examination is done with appropriate pictures posted which makes me clear in understanding the case. - The cause of Polyarthritis is well defined with differential diagnosis and their classification chart. - The answers to the questions are well explained to the point. - The short cases are also well mentioned with their periodic follow up and appropriate treatment is given for the cause. - The analysis of diagnostic and therapeutic uncertainties are detail. QUESTION-2 , 3 : 1. Diagnosis - Acute glomerulonephrit...

A CASE OF HYPONATREMIA

M. SNEHA ROLL NO - 74  3RD SEMISTER    NOTE The following online e-log  aims at discussing our patients de-identified health data shared after taking the consent. I have been given this case to understand patients clinical data analysis to develop my skills in providing the treatment and diagnosis based on the history,investigations and clinical findings. Thanks to Pavan Kalyan Sir and Shashikala Mam for the guidance. A 62 year old female resident of chityala has 3 children , presented to casuality in a irritable and altered state with complaints of  Vomiting (5-6 episodes) , Loose stools (2 episodes) since yesterday HISTORY OF PRESENT ILLNESS : ➣  Patient was apparently asymptomatic 15 years ago  ➣  Then she had complaints of cough intermittently and SOB early morning.She was diagnosed to have emphysema secondary to biomass exposure. ➣  6 Months back , she developed low grade fever , shortness of breath ( grade 2)  ➣  No bilateral ...

GENERAL MEDICINE JULY MONTH ASSESSMENT

NAME- M.SNEHA ROLL NO-74 3RD SEMISTER  QUESTION-1 Competency tested for peer to peer review - My review on this elog https://73myashwitha.blogspot.com/ ➡ Her review is nice on the cases done by our seniors. ➡ The cases were clearly understood by her. ➡ The review is clear regarding presentation, pathophysiology, flowcharts, investigations, diagnosis, treatment. ➡ The review of all other infectious diseases, gastroenterology, mucormycosis should have been done. ➡ She presented her own case report well. ➡ She discussed appropriately about the diagnostic and therapeutic uncertainities regarding the cases. ➡ Her point of view regarding clinical postings is reliable. QUESTION-2 https://madamsneha74.blogspot.com/2021/07/case-of-covid-19.html QUESTION-3 Case-1 : https://laharikantoju.blogspot.com/2021/07/58-year-old-male-patient-elog-lahari.html?m=1 The given case diagnosis is Acute kidney disease secondary to UTI with associated denovo DM. Investigations and treatment are well mentioned ...

CASE OF COVID-19

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M.SNEHA ROLL NO-74 NOTE The following online e-log  aims at discussing our patients de-identified health data shared after taking the consent. I have been given this case to understand patients clinical data analysis to develop my skills in providing the treatment and diagnosis based on the history,investigations and clinical findings. This E-log is made under the guidance of Dr.kranthi mam. A 23 year old female [student] came to the OPD with the chief complaints of  »  Body pains from 3 days » Sore throat past 3 days »  Loss of smell from 3 days »  Cold past 2 days »  Headache from yesterday History of present illness : »  Patient was asmptomatic 3 days back »  Low graded fever from morning,2 hours subsided on medication »  No chills and rigor  »  She had exposure to COVID-19 contact History of past illness : »  No C/O shortness of breath / PND »  No C/O chest pain / palpitations / syncopal attack »  No C/O of burnin...

General Medicine Assessment

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MADAM SNEHA [ 3RD SEMISTER ]  ROLL NO - 74 1)  PULMONOLOGY   CASE My review in the pulmonology case of a 55 year old female who is presented with shortness of breath,pedal edema and facial puffness is  ✱  She had first episode of this shortness of breath 20 years ago and had yearly episodes for 8 years lasting one week. This could be due to the use of chulha which lead to allergy. The Anatomical location which effected is bronchioles. ✱ She was  Diagnosed with Diabetes 8 years ago • Anemia and took iron injection:- 5 years ago • Generalized weakness :- 1 month ago • Diagnosed with Hypertension:- 20 days back • Pedal edema is seen from 15 days •Facial puffiness:- 15 years back  LOCALISATION OF PROBLEM: Lungs ✱  Head end elevation is done to improve oxygenation. BiPAP (Bilevel positive airway pressure) is a type of ventilator used to treat used to treat chronic canal that affect breathing. It also helps in improvement of sleep quality. Azithromycin...