GENERAL MEDICINE ASSIGNMENT

49 Immani Aasritha 

Bimonthly formative and summative assessment-JUYL 2nd

2019 batch -3rd em

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 bronchiectasis. 

            2.CARDIOLOGY

                        Review: https://gnanaprasunareddy.blogspot.com/

                            CASE:https://muskaangoyal.blogspot.com/2021/05/a-78year-old-male-                                                              with-shortness-of.html

                         As chief complaints are shortness of breath since 20, days pedal edema since4 days, and facial puffiness since 4 days most importantly chest pain since 20 days. After the lab investigations and general, systemic examinations it is known that the patient is suffering from acute pericarditis.

              

              3.NEUROLOGY 

                           Review:https://gnanaprasunareddy.blogspot.com/

                                CASE: https://143vibhahegde.blogspot.com/2021/05/wernickes-                                                                            encephalopathy.html                               

                               As the patient has been presented to the hospital with chief complaints of irrelevant talking and decreased food intake for 9 days. After lab investigations and radiological reports, the person is diagnosed with Wernicke's encephalopathy secondary to chronic alcohol dependence. WERNICKES area is located in the temporal lobe on the left side of the brain and is responsible for the comprehension of speech.

         

                        4.NEUROLOGY 

                                  Review: https://gnanaprasunareddy.blogspot.com/

                                        CASE: https://rishikoundinya.blogspot.com/2021/05/55years-old-patient-                                                            with-seizures.html 

                                     As chief complaints of the patient are altered sensorium and involuntary movements for some time and recurrent episodes of seizures for the past 5 years. After the investigations did it was diagnosed as a brain stroke.

                                                             

                5.CARDIOLOGY  

                                       CASE:https://mohammedwahaaj11.blogspot.com/2021/07/a-55yr-old-male-                                                       with anasarca-secondary.html 

                                 The patient is presented with absolutely no chest pain and even family history clearly shows no chest pain so after several examinations are done, he was diagnosed with anasarca and right heart failure with bilateral hydrocoele. Chief complaints of the patient are pedal edema since 1-month Abdominal Distension, Decreased Urine Output, Facial Puffiness since 1 month.

               

              6.GASTROENTEROLOGY  

                                  Review: https://gnanaprasunareddy.blogspot.com/ 

                                        CASE:http://manikaraovinay.blogspot.com/2021/05/50male-came-in-                                                                  altered-sensorium.html   

                         Chief complaints of the patient were fever for 10 days facial puffiness and periorbital edema for 4 days and altered sensorium since 2 days as of investigations done the patient is diagnosed with mucormycosis and diabetic ketoacidosis. the patient is suffering from diabetes type2 and hypertension for 2years and radiological investigations revealed mucormycosis.                         

             7.HEPATOLOGY                                           Review: https://gnanaprasunareddy.blogspot.com/ 

                                   CASE:  https://kavyasamudrala.blogspot.com/2021/05/liver-abscess.html 

                    As chief complaints of a 55-year-old male patient are pain abdomen for 1week and decreased appetite since one week and fever for 2days. The patient was diagnosed with a liver abscess and on weekly follow up the patient's symptoms were reduced.

            8. NEPHROLOGY AND UROLOGY 

                             Review: https://gnanaprasunareddy.blogspot.com/

                                 CASE: https://shubankarkandukuri.blogspot.com/2021/05/general-medicine-                                                    assignment-may-2021_77.html   

                            This is a case of acute renal failure secondary to urosepsis in a patient who is a known case of DM. After lab investigations are done it was shown of bilateral hydronephrosis and dilated ureter with a thickened wall of the urinary bladder. As it is chronic disease recovery process could a while.

           9.INFECTIOUS DISEASE COVID-19 

                           Review: https://gnanaprasunareddy.blogspot.com/

                               CASE: https://nehapradeep99.blogspot.com/2021/05/a-50-year-old-female-with-                                                viral.html

                     The patient came to the OPD with chief complaints of fatigue since 2week and fever since 1 week with shortness of breath and low oxygen levels. After nasal swab test and investigations were done it was seen that the patient is COVID positive.

           10. CARDIOLOGY              

                             Review: https://gnanaprasunareddy.blogspot.com/

                                 CASE: https://daddalavineeshachowdary.blogspot.com/2021/05/67-year-old-                                                      patient-with-acute-coronary.html?m=1

                            The chief complaints of the patient are shortness of breath since 1/2 n hour, history of heartburn since 1 year.on examinations and investigations done the patient is diagnosed with the acute coronary syndrome.

QUESTION : 2.

I haven't got any chance to present a case

 QUESTION: 3 

https://pallavi191.blogspot.com/2021/06/gm-cases.html?m=1

The patient with chief complaints of weakness in both lower limbs(paraplegia) and loss of handgrip 10 days back with associated bowel and bladder incontinence. According to the history of presenting illness, he is on medications due to acid-fast bacilli(AFB) and taking HRZE. As he is suffering from weakness for the past 15 days and has known case of tb since 1 month with no sensory impairment. Both the general examinations and systemic examinations are normal and all nerves are intact the patient may be suffering from spondylitis on the basis of radiological investigations.

QUESTION :4    

https://nikithaedam48.blogspot.com/2021/06/18-year-old-malefrom-miryalagudawho-is.html?m=1

As the patient is a student who came to OPD with complaints of low backache 1 week ago and fever since 5 days yellowish discoloration of eyes since 3 days along with vomitings diarrhea and blood-tinged urine until yesterday morning. history of presenting illness with loss of weight and polyuria in last 2 days he got fever which eventually got subsided on medications, no history of diabetes, asthma, TB, epilepsya, and no relevant family history increased in body temp, icterus - present, normal systemic examination with exception of tenderness in epigastrium and hypochondrium-the probable diagnosis for these symptoms can be viral hepatitis with diabetes mellitus type 1.

QUESTION: 5

Firstly it was great to have interaction with the patient although it is online. The classes were interesting but it would be more effective if these sessions were done offline. Interns who are helping us out from this by sharing the patient history and so on in spite of that HOD sir is making classes compulsive and explaining us in an appropriate way which makes easy to understand.