General Medecine Internal Assessment 2

 






















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Acute Kidney Injury secondary to Urosepsis

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A 60yr old female presented to the OPD with chief complaints of pedal edema since 10 days, decreased urine output since 10 days and fever since 10 days. History of present illness: The patient was apparently asymptomatic 5 years back following which she was diagnosed with DM2 on checkup and on Teneligliptin 20 mg. In 2019 ( 2 years ago) she developed fever, shortness of breath and pedal edema and diagnosed with Acute kidney injury secondary to urosepsis and resolved conservatively after dialysis (4 sessions) Now presented with history of fever, high grade since 10 days, not associated with vomiting and loose stools . Patient complaints pedal edema bilateral and pitting type, with decreased urine output and burning micturition. History of past illness: Outside reports suggest acute kidney injury. Known case of diabetes mellitus since 10 years and on tab Teneligliptin 20 mg and not known case of hypertension, bronchial asthma, tuberculosis. Personal history: Married  Mixed diet ...
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BIMONTHLY BLENDED ASSESSMENT - JULY 2021

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  BIMONTHLY BLENDED ASSESSMENT - JULY 2021 -114 Sai Ajay Bompalli   BELOW IS THE LINK TO THE QUESTIONS ASKED TO US : http://medicinedepartment.blogspot.com/2021/07/medicine-paper-for-july-2021-bimonthly.html?m=1 QUESTION 1: -Below is the link of the student assignment for which I am sharing my peer review. https://saicharithareddym.blogspot.com/2021/07/charitha-reddy-m-roll-115-i-have-been.html Reviews to all the Questions answered :- 1.The quantitative and qualitative insights(reviews) were given genuienly according to the deservance of E-Log case. 2.The clear cut appraisal is given by mentioning both pros and cons. 3.There is even more possibility for more case depicting points which can be selectively described. 4.The peer review is written on shortness of breath, pedal edema and facial puffiness. A good and well described appraisal has been provided regarding the important aspects of the case.  5.The symptomatology, etiology and the anatomical localisation of the prob...
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65 YEARS OLD FEMALE WITH SYNCOPE

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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/guardians' signed informed consent. This Elog reflects my patient-centered online learning portfolio. A 65 year old female, housewife, resident of Chinatunalgudam  presented to the casualty with loss of consciousness. HISTORY OF PRESENTING ILLNESS: Patient was apparently asymptomatic two days ago. Then,  after walking for a long time,  she had an episode of syncope, associated with sweating,   After gaining consciousness after approximately. Not associated with palpitations, flushing, chest pain, muscle weakness, slurring of speech, headache.  The patient was brought to the casualty and given medication (glucose saline) and recovered completely. PAST HISTORY: 4 days ago, patient has history of chest pain   (sudden onset , in the centre of chest, squeezing type, non progressive, not radiating ) with shortness of breath following exertion, w...
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