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Showing posts from November, 2021

Internal assessment-2

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1.Anatomical and etiological localization for hemiparesis and further management.  2.Etiology pathogenesis clinical features management complications of acute pancreatitis 3.Dengue fever clinical features and complications  4.cushings syndrome    It is a metabolic disorder caused due to over production of corticosteroids by adrenal cortex and often involving obesity and high blood pressure  7. Rheumatoid Arthritis  9. Heart Failure  10. Ascites 11. Pyrexia Of Unknown Origin 12. Drug induced liver injury 13. Evaluation of backache  14. Renal artery stenosis  15. Acute kidney injury  16.  Oral hypoglycemic agents 17. Complications of diabetes 19. Metabolic acidosis  20. Iron deficiency anemia 18. Light's criteria  Light's criteria used to determine whether a pleural effusion is exudative or transudative. It is recommended for use when a pleural protein is between 25-35 g/l and satisfying any one of the following criteria: a)A ratio >0.5 between total pleural and plasma protein

A 15 year old male patient with Acute kidney Injury

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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/guardian's informed consent. Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs Date of admission:8/11/2021 CHIEFCOMPLAINT: A 15 yr old male ,studying 9 th class came to the casuality with chest pain,discomfort in breathing while lying down since 3 days HISTORY OF PRESENT ILLNESS: Pt was apparently asymptomatic 2 months back then he complains of vomitings 2 - 3 episodes daily associated with food particles not associated with blood ,for around 1 month  H/O fever 2 months back associated with chills relieved with medication by 2 days  Incidentally patient found to have urea 62 mg/dlCreatinine 8.3 went to Hyderabad. Within 1 day urea has raised to 135mg/dl and creatinine 10.7  And start

A 43 year old male patient with nephrotic syndrome

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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/guardian's informed consent. Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs Date of admission :30th October  A 43years old male patient welder by occupation came to the OPD with body pains,body swellings and SOB since 6months. History of present illness   Patient was apparently asymptomatic one and half year back.In the month of march he experienced seizures associated with leg swellings(nearly 20bouts of seizures in one day)He then was admitted in Mamatha and recovered.He experienced 2 episodes of seizures 6months back.The symptoms of patient during seizures are dizziness,tingling and numbness. History of shortness of breath (Grade-4)since 3years. Pedal edema is present-pitting type