gm 2nd internal assessment

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GENERAL MEDICINE BIOMONTHLY ASSIGNMENT

AUGUST 23rd, 2021 2k19 batch ; 3rd sem QUESTION - 1 LONG CASE: This is primarily a case of Acute glomerulonephritis, likely due to Secondary Amyloidosis due to Chronic Poorly Treated Seronegative Erosive Rheumatoid Arthritis. The patient presented with bilateral, symmetric, pitting type of edema which was extending upto the middle of his leg. The patient also had chronic pain in the joints leading to restriction of movement since 2011. Upon previous hospital visits, the RA factor was negative. Therefore, the patient was prescribed analgesics and sent home. Chronic use of analgesic drugs was seen from 2011-2019, the details of which were undocumented. Hyperuricemia was also observed in one of his recent visits during last year and Febuxostat was prescribed as it has proven to be more effective than Allopurinol in recent studies. Anasarca was the chief complaint of this visit for which through testing and examinations were done. Liver and cardiac causes were ruled out and renal pathology...
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70 yr old female patient ....

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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. 70yr old female came to OPD  C/O  loose stools since 10 days and two episodes of vomiting 10days ago. lower back pain and blebs over dorsal aspect right lower limb along with swelling since 20 days. Patient was asymptomatic for 15yrs back. 15yrs back H/o fever - on check up found to have HTN  10 yrs back joint pains were developed first to distal small joints ,elbow joint and now many joints are involved  ( pt do not have an idea about the sequence of joints involved in pain after that) 8 yrs back pt found that aggravated joints pains went to a  local hospital and st...
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General medicine assignment 2019 batch - 3rd sem

  QUESTIONS:1                1.PULMONOLOGY                            Review: https://gnanaprasunareddy.blogspot.com/                                CASE: https://soumyanadella128eloggm.blogspot.com/2021/05/a-55-year-old-                                                    female-with-shortness-of.html                               As chief complaints are pedal edema, facial puffiness, and shortness of breath for the past 15 days. As far the examinations done and investigations revealed that she is suffering from an exacerbation of COPD along with right heart failure associated with bronchiectas...
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