39 Bhavana Gadari

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...

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...

 This is the online elog platform where there will be case discussion .Which improves basics of learning like how to take a case,howt to the patient,how to take history of the patient,how to examine the patient,and by considering what factors we have to diagnose,and the treatment that should be followed. UNDER THE GUIDENCE OF SAI DEEPIKA MA'AM (INTERN) INTRODUCTION: CASE And CLINICAL FINDINGS:    A 14 yr old female came to casualty with the chief complaints of  -2to 3 eposodes of vomitings -which is non projectile,non bilious associated with food particles 5days back HIGH GRADE FEVER, INTERMITTENT, relieved on medication Fever subsided 1 day back. History of present illness: • No H/o of cold ,cough,SOB , headache • Pain abdomen,     loose stools,      hematuria,     Malena     rash. No other complains PAST ILLNESS: No H/o DM,HTN,ASTHMA, EPILEPSY,CAD,TB PERSONAL HISTORY: No significant personal history FAMILY HISTORY: No si...

 Q1.Peer review: A 52yr old patient came to the ward on 29 June 2021 with chief complaints of  right lower limb swelling, intermittent fever (alive and well), shortness of breath  since 3days, and  burning micturition  for 15 days. This is a case of Right  lower limb cellulitis Right heart failure 2nd degree to COPDAKI 2nd degree to cellulitis - resolved DM-II   Heart failure with a preserved ejection fraction (HFPEF) This was done as elog by my classmate https://49immaniassritha.blogspot.com/ The patient was first asymptomatic later he developed right lower limb pain upto knee and then came up with many complaints...what I have observed is that    there are elevated levels of urea,creatinine,uricacid and low level of chloride in RFT and elevated levels of total and direct bilirubin in his LFT Random blood sugar level which is low Complete urine examination is also done  Haemogram which showed high neutrophil count and low leucocyte...

  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...