E log General medicine

 Bimonthly formative and summative asessment

Name:sai prasanna

3rd sem

This is an online e-log platform to discuss case scenarios of a patient with their guardian's permission.
The below link is used as a reference
Question1:

Long case

He has been diagnosed to have Acute Glomerulonephritis

Localisation of Acute and chronic problem with different provisional diagnosis is done well leading to specify the condition and make the progression of treatment easy.

Features leading to diagnose Acute Glomerulonephritis has been mentioned well like

1.Hypertension(secondary in Glomerulonephritis)

2. Serum albumin/total proteins etc..

Short case

1.The examination iof each and every system is done clearly especially sensory and motor system 

Patient is diagnosed as1.idiopathic Parkinson's disease  stage 1with denevoHTN 2.Multiple system atrophy_patkinsonism type MSA-P

Case 2: even 8n this case they mentioned clear examination of each system which Is to easy to diagnose the problem

Patient is diagnosed with Iatrogenic cushings syndrome secondary to topical clobetasol application all over body for approximately 1yr 

Question 2:

ACUTE GLOMERULONEPHRITIS (long case)

Problems:
1. Anasarca(generalized swelling in the whole body)
2. Oliguria (decreased urine output)
3. Decreased serum albumin leading to decreased oncotic pressure resulting in generalized anasarca
4. Features of hypertension 
The above mentioned features leads us to diagnosis of Acute Glomerulonephritis.
 
Treatment:
1.Free water restriction for hyponatremia
2. Haemodialysis performed to cure oliguria and to prevent the worsening of kidney function. 

PARKINSONS DISEASE (Short case)

Problems:
Involuntary movements - Resting tremors of Right upper limb , 3-4Hz, high amplitude.
Postural hypotension _autonomic feature
Hypersonia of the right wrist Cogwheel rigidity

Treatment:

1. Tab. Syndopa Plus 125 mg QID
2. Tab. Syndopa 125 mg CR OD
3. Tab. Telma 40 mg OD

Question 3:

Long case:

The presence of frothy urine and edema strongly supports a glomerular pathology due to significant loss of protein and also decreased urine output. Lead to diagnosis of Acute Glomerulonephritis. 

Short case:
Involuntary movements - Resting tremors of Right upper limb , 3-4Hz, high amplitude.

Gait - Reduced arm swing.
Lead to diagnosis of parkinsons disease

Question 5: making blogs is intresting as we don't even have chance to get touch with the patients directly due to this pandemic.This became possible only due to GM department


Comments

Post a Comment

Popular posts from this blog

25 yr old female patient

Image
  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 clinical problems with collective current best evidence based inputs 25 yr old female patient resident of miryalguda,housewife by occupation came to OPD with chief complaints of fever since 5 days and giddiness since 5 days. History of presenting illness: Patient was apparently asymptomatic 5 days back the she developed fever  which is sudden in onset, continuous ,high grade fever, associated with chills and rigors relieved on medication . Fever is associated with headache,retro orbital pain. History of generalized weakness, body pains. H istory of nausea and vomitings(non bilious) 3 to 4 times a day projectile History of cough (non productive) History of abdominal pain, burning mi
Read more

E log -GENERAL MEDICINE

Bimonthly  formative and summative assessment  Name:sai prasanna Roll no:117 Batch:2019(3rdsem) Question :1 Pulmonology  Review://166sasirakasinadhuni.blogspot.com/ Case:https://soumyanadella128eloggm.blogspot.com/2021/05/a-55-year-old-female-with-shortness-of.html The above case is of COPD due to RHF and bronchiectasis. Patient presented with cheif compliants: 1.shortness of breath 2.pedal edema 3.puffiness of face  decreased urine output  The patient was with diabetes n hypertension  On examination it was diagonesed as RHF along with bronchiectasis Patient was examined thoroughly and treated well Neurology Review:https://08arshewarpavankumar.blogspot.com/2021/05/a-40-year-old-male-with-complaints-of.html In the above case it was explained with the symptoms clearly Cardiology  Review: https://gnanaprasunareddy.blogspot.com/ Case: https://muskaangoyal.blogspot.com/2021/05/a-78year-old-male-                                                              with-shortness-of.html Patient came
Read more