47 Chaitanya gundamala

47 GUNDAMALA CHAITANYA GENERAL MEDICINE BIMONTHLY ASSIGNMENT AUGUST 25rd, 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

CHRONIC LIVER DISEASE WITH LOW GRADE VARICES nd MILD PHG GUNDAMALA CHAITANYA 3 rd sem, roll no:47  I have done this under guidence of Dr.Meghana (Intern) 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. August 06, 2021 A 28 YEAR OLD MALE WITH ALCOHOLIC LIVER DISEASE   CHIEF COMPLAINT:   A 28  year old male came to the opd with chief complaints of Abdominal pain and distension since 7 days Pedal edema extending upto knees since 7 days Fever since 4 days Date of admission: 14/7/21  HISTORY OF PRESENT ILLNESS: # Patient was apparently asymptomatic 1 year back, then he had pain in abdomen which is of diffuse type(Not associated with vomiting). # He stopp