114saiajaybompalli

General Medicine - Internal exam  

This is an online e log book to discuss our patient de-identified health data shared after taking his/her/guardians signed informed consent. This Elog reflects my patient centered online learning portfolio. This Elog was created under the guidance of Dr Naveen (Intern). This is the case of a 25 year old man. CHIEF COMPLAINT : Shortness of Breath  Pedal edema since 10 days HISTORY OF PRESENT ILLNESS : Patient was apparently asymptomatic 10 days back. & then he presented with worsening breathlessness 3 hrs post binge (90) whisky. His earlier events 9th class - Had an episode of SOB  and had to sit back while playing with copious amount of sputum with expectoration (yellowish color, non foul smelling). He continuies to feel breathlessness in his teen's and needs rest often ass with palpitations (pounding nature 1- 2 hrs). Often developed respiratory tract infection with history of cough & copious amount of expectoration, sore throat running nose. Relieved on taking Medica...

  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...

19 year old female came with complaint of shortness of breath since 10 days. History of present illness: Patient was apparently asymptomatic 6 months ago when she experienced heavier flow in her menstrual bleeding. She says, it has worsened in the last 3 months - where the cycles occur every 30 days and she bleeds for 5 days during which she has to use 10-15 pads a day for the first 2 days.  She went the OB&G for the same and then was referred to General Medicine.  She complains of shortness of breath on walking 4-5 steps, speaking and even eating food since the last 10 days associated with fatigue, weakness, palpitation and sweating.  She gives a history of a severe episode of SOB today morning when she was packing to get to the hospital which subsided when the ASHA worker near their apartment made her sleep to the side, opened the windows and made her smell camphor.  She complains of sudden breathlessness while in sleep at night, which subsides when she takes a...

BIMONTHLY BLENDED ASSESSMENT - JUNE 2021 -114 Sai Ajay Bompalli The following is a link to the assignment which has been given to me for a monthly progress evaluation: https://medicinedepartment.blogspot.com/2021/06/medicine-department-paper-for-june-2021.html?m=1 QUESTION 1: Please go through one particular answer of ten students in this link: http://generalmedicinedepartment.blogspot.com/2021/06/bimonthly-formative-and-summative_19.html?m=1  And share your peer review of each answer with your quantitative marking input as well as qualitative insights into what was good or bad about the answer.  ANSWER 1: After reviewing the pulmonology case in the following links: Link 1: https://aitharaveena.blogspot.com/   Qualitative: 8/10 Quantitative:  The symptomatology has been explained in a chronological order of occurrence but had missed the order for one of the symptoms. But the mechanism of action was very well explained with essential amount of information to expl...

A 70yr old female came with complaints of neck muscle stiffness and unable to speak. History of present illness:- Patient was apprently asymptomatic 7years back then she developed pain in the right shoulder for which she was managed conservatively 5years ago she developed weakness and giddiness and on evaluation was diagnosed with HYPERTENSION (started with TAB.ATENOLOL 25mg which she stopped 2months ago and started taking TELMA-40 as prescribed by local medical practitioner since the BP was’nt under control).Also since 5yrs she developed pain in both lower limbs for which she was prescribed TAB.ACECLOFENAC AND TAB.PREDNISOLONE-5mg by an RMP and stopped taking these from 2months. History of past illness:- Not a known case of DM,TB,Bronchial Asthma Personal history:- She takes mixed diet and has decreased appetite She has adequate sleep Her bowel and bladder movements are normal and regular Family history:- No significant family history Treatment History: TAB. ATENOLOL 5mg TELMA - 40...

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 ...