Roshini bala

 BIMONTHLY INTERNAL ASSESSMENT - NOVEMBER November 17, 2020  CASE : 1 1) "55 year old male patient came with the complaints of Chest pain since 3 days Abdominal distension since 3 days Abdominal pain since 3 days and decreased urine output since 3days and not passed stools since 3days. https://sreejaboga.blogspot.com/2020/11/is-online-e-log-book-to-discuss-our.html?m=1 A) Where are the different anatomical locations of the patient's problems and what are the different etiologic possibilities for them? Please chart out the sequence of events timeline between the manifestations of each of these problems and current outcomes.  Pain abdomen:  1.pancreatitis secondary to ? chronic alcoholism 2.perforated peptic ulcer 3.Inferior wall MI ( epigastric pain) Oliguria: Acute kidney injury Acute tubular necrosis  SOB ( lungs or heart):  AKI leading to fluid overload and heart failure. Pancreatitis leading to pleural effusion / ?ARDS Sequents of events: 1.congenital bow leg deformity Alc

 This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed 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.  This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box is welcome.  Case presentation: 35 year old male  labourer  by occupation who is the resident of  nalgonda    presented with pedal edema since 1 month and sob since yesterday Patient was apparently asymptomatic 1 month back later he developed pedal edema Which was gradual in onset  progressed to knee , associated with facial puffiness then he went to chityala and he has taken the medications which was prescribed by local doctor ,symptoms got relieved.  Then yesterday night he deve

  This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed 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.  This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box is welcome.  Case presentation: 51 year old  male who works at petrol station, resident of  Narketpally Presented with fever since 1 week ( lasted for 2 hrs)  yellowish discoloration of eyes and urine since 4 days  Patient was apparently asymptomatic 2yrs back later he developed swelling of both sided small and large joints ( multiple joints) for which he was diagnosed with rheumatoid arthritis and diabetes ,for which he prescribed prednisolone 10 mg , HCQ - 200mg , lefloreamide