07 A.S.SIVARAM

 GENERAL MEDICINE CASE PRESENTATION  A 45 yr old female agriculture by occupation was brought to the casualty. CHIEF COMPLAINT:  Abdominal pain  Vomiting Fever Burning micturition Cough SOB HISTORY OF PRESENT ILLNESS:- * Patient was asymptomatic before 3 days after which she developed abdominal pain ,vomiting ,fever associated with cough ,Burning micturation for the past 3 days.After which she developed SOB ( grade 2-3), pyelonephritis  and  came to casualty in our Hospital. PAST HISTORY:- k/c/o HTN since 1 yr. NOT k/c/o Diabetes,TB PERSONAL HISTORY:- * Alcohol intake occasionally. *Bowel and Bladder movements are Normal. FAMILY HISTORY:- *No Familial History. GENERAL EXAMINATION:- *No icterus and pallor. *Pedal edema is present. * No lymphadenopathy  ON EXAMINATION:- BP: 100/70 mm Hg PR: 86bpm Temperature: 98.6 F RR: 18cpm SpO2: 92 % INVESTIGATIONS:- CBP:- Serum Electrolytes(Na,K,Cl): - Blood Urea:- Blood Sugar-Random:-   LFT:- Serum Creatinine:- PROVISIONAL DIAGNOSIS:- Dengue  Thromb

BIMONTHLY ASSIGNMENT OF MEDICINE FOR AUGUST 2021 BELOW IS THE LINK TO THE QUESTIONS ASKED TO US:- http://medicinedepartment.blogspot.com/2021/08/medicine-paper-for-aug-2021-bimonthly.html QUESTION 1:- Below is the link of the student for which I am giving my peer review. https://2018-21batchpgy3gmpracticals.blogspot.com/2021/08/18100006003-case-presentations.html?m=1 LONG CASE  :- A 44 year old man presented with a 3-day history of bilaterally symmetrical rapidly progressive generalized edema. REVIEW:- *The Case is well presented and  patient data has be deidentified and privacy is marked. *C ase history is taken beautifully precisely taken including social ,educational and surgical  history which is way too essential to understand the socio economic back ground of the patient and helpful in accurate diagnosis. FINAL DIAGNOSIS : - *Acute Glomerulonephritis, likely due to Secondary Amyloidosis due to Chronic Poorly Treated Seronegative Erosive Rheumatoid Arthritis. *Dilutional Hyponatre

GENERAL MEDICINE CASE PRESENTATION    A 70 yr old male agriculture by occupation was brought to causality in an unconscious state since yesterday. CHIEF COMPLAINT:  Fever since 3 days  Abdominal pain since 3 days HISTORY OF PRESENT ILLNESS: *  Patient was apparently asymptomatic 1 week back after which he started Binge drinking for 2 days. *He developed Fever that last for 3 days and developed Abdominal pain Burning type both for which he was treated by local Doctor. * After that he developed weakness which is gradual in onset and was unable to stand for which he was admitted to local hospital where he was diagnosed to have DENGUE FEVER (through NS1 ANTIGEN Positive) and the Platelet Count was 24,000.  PAST HISTORY: *Patient is a known case of Chronic Alcoholism since 30 years and increased his intensity since last 3 years.  *smoking since 20 yrs, average 2  beedi per day TREATMENT HISTORY: * No Past history of treatment  PERSONAL HISTORY: * He is a chronic alcoholic since 30 years  *