49 Immani Aasritha

49 Immani Aasritha GENERAL MEDICINE BIMONTHLY ASSIGNMENT AUGUST 23rd, 2021 2k19 batch ; 3rd sem QUESTION - 1 LONG CASE: This is primarily a case of Acute glomerulonephritis, likely due to Secondary Amyloidosis due to Chronic Poorly Treated Seronegative Erosive Rheumatoid Arthritis. The patient presented with bilateral, symmetric, pitting type of edema which was extending upto the middle of his leg. The patient also had chronic pain in the joints leading to restriction of movement since 2011. Upon previous hospital visits, the RA factor was negative. Therefore, the patient was prescribed analgesics and sent home. Chronic use of analgesic drugs was seen from 2011-2019, the details of which were undocumented. Hyperuricemia was also observed in one of his recent visits during last year and Febuxostat was prescribed as it has proven to be more effective than Allopurinol in recent studies. Anasarca was the chief complaint of this visit for which through testing and examinations were done. Li

IMMANI AASRITHA, GM 3rd sem, roll num:49 August 05, 2021 User the guidence of Dr. Meghana (intern) UREMIC ENCEPHALOPATHY with AKI on CKD This is an online e-log platform to discuss case scenarios of a patient with their guardian's permission. I have been given this case to solve in an attempt to understand the topic of patient clinical data analysis to develop my competency in reading and comprehending clinical data including, history, clinical findings, investigations, and come up with a diagnosis and treatment plan. ON GOING CASE CASE SCENARIO: A 75 year old male patient came to casuality in unresponsive state since 1 hour. Patient was having fever since 10 days . HISTORY OF PRESENT ILLNESS: The patient was apparently   asymptomatic 10days back then he had insidious onset of fever ,low grade intermittent ,releived with medication,not associated with any chills and Rigors. Yesterday morning he woke up,done his routine works and was normal till evening ,went to sleep and they tried