General medicine E-log - Prasannakalyan - 52

   This is an online E-log book to discuss our patient's identified health data shared after taking his/ her guardians signed informed consent. CASE SCENARIO: This is a case of an 85 year old male presented to OP with Shortness of breath, Vomiting since 2 days and dysphasia. COMPLAINTS AND DURATION Shortness of breath  Vomiting since 2 days dysphagia  HISTORY OF PRESENT ILLNESS Diagnosed with Heart disease 2 years ago. Shortness of breath as of one week ago followed by Dysphagia and vomiting as of 2 days. HISTORY OF PAST ILLNESS Not a K/C/O HTN, DM, asthma, epilepsy Unhealed ulcerated foot for the past 10 years. Surgery done to graft thigh muscle to the foot but has shown no improvement TREATMENT HISTORY Thigh muscle graft to feet for non healing ulcer Has been regularly tested for DM and HTN. PERSONAL HISTORY Appetite - lost Bowels- regular Micturition -normal No known allergies Quit alcohol and Cigarettes 8 years ago on recommendation by physician for non healing u...

  N ame  -Prasannakalyan Roll no  - 52 QUESTIONS:  https://medicinedepartment.blogspot.com/2021/08/medicine-paper-for-aug-2021-bimonthly.html?m=1    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 ...

  This is an online E-log book to discuss our patient's identified health data shared after taking his/ her guardians signed informed consent.   Here we discuss our individual patient problems through a series of inputs from available Global online community of experts with an aim to solve the patients  clinical problem with current best evidence based input.   This E-log also reflects my patient centered online learning portfolio. 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. CASE SCENARIO: A 32 year old female presented to the OPD with dysphagia, significant weight loss, pedal oedema, SOB on exertion, blood in stool and pain during defecation. COMPLAINTS AND DURATION Dysphagia to solids since 4 months (grade-3) Weight loss of 15 kgs ...