47 Chaitanya gundamala

This is online E book to discuss our patients health data shared after taking his guardians informed consent form I have been  given this case to solve in an attempt to understand topic of" patient clinical data analysis" to develop my competency in reading and comprehensing clinical data including history clinical findings investigations and come with a diagnosis and treatment plan. Case Scenario:: A 65 yr old male came to OPD with chief complaints of a Decreased urine output and Abdominal distension since 1 day Bilateral lower limb swelling which is pitting type since 10 days . History of present Illness :- -Decreased urine output, abdominal distension, not associated with pain. Bilateral pitting type since 10 days. History of low grade intermittent fever not associated with chills, rigors since 10 days. History of past Illness K/c/o CKD,4 Cycles of Haemodialysis done Known case of Hypertension and Diabetes Treatment history Using Medication for Diabetes since  5 yrs Medica...

 GUNDAMALA CHAITANYA. 3 rd sem Roll no 47  This is online E log book to discuss our patients health data shared after taking his guardians informed consent form I have been  given this case to solve in an attempt to understand topic of" patient clinical data analysis" to develop my competency in reading and comprehensing clinical data including history clinical findingsfindings investigations and come with a diagnosis and treatment plan. . *50 year old male came with chief complaints of fever and Altered sensorium.  High grade fever associated with chills and rigors, not associated with  loose stools ,headche , cold, cough, seizures and loss of consciousness . *He was apparently asymptomatic 6 yrs back then he had thrown prick to right leg because of Non healing ulcer  on routine investigation he was diagnosed with Diabetes mellitus and hypertension and on irregular medication.  *2 yrs back he had complaints of pedal edema  insidious onset gradual...

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 v...

QUESTION :1 peer review A 52 year old patient came to Hospital on 29 th june 2021 with chief complaints of Right   lower limb swelling and intermittent fever ( alive and well), shortness of breath since 3 days and Burning  THIS IS A CASE OF # RIGHT LOWER LIMB CELLULITIS # Right heart failure 2nd degree to COPDAKI 2nd degree to cellulitis - resolved # DM-II   # Heart failure with a preserved ejection fraction (HFPEF) This blog was done by my classmate https://49immaniassritha.blogspot.com/ The patient was first asymptomatic later he developed right lower limb pain upto knee and then came up with many complaints. what I have observed is that    there are elevated levels of urea,creatinine,uricacid and low level of chloride in RFT and # elevated levels of total and direct bilirubin in his LFT. #Random blood sugar level which is low. #Complete urine examination is also done.  # Haemogram which showed high neutrophil count and low leucocyte count ( normocyt...