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:-...
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AKI 2° to Rt nephrectomy Case scenario:- PT aged 40 yrs F Farmer by occupation came to opd with c/o of Vomitings since 15 days nausea since 15 days Pt was apparently normal 4yrs back then she had burning micturition pedal edema and rt loin pain and diagnosed with renal calculi(2 to 3 cm) Pt has right kidney nephrectomy in 2018 HISTORY OF PRESENT ILLNESS Since 10 to 15 days pt had nausea and Vomiting HISTORY OF PAST ILLNESS Right kidney nephrectomy in 2018 N/k/c/o BP and HTN PERSONAL HISTORY Mixed diet Married Farmer by occupation PHYSICAL EXAMINATION Patient is conscious, coherent and cooperative •Moderately built and Moderately nourished •No signs of - Pallor Cyanosis Clubbing Icterus VITALS • Temp ...
GENERAL MEDICINE MONTHLY ASSIGNMENT AUGUST-2021
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 Art...
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