E-LOGS

QUESTION 1 Pulmonology: Review : https://166sasirakasinadhuni.blogspot.com/ Case:https://soumyanadella128eloggm.blogspot.com/2021/05/a-55-year-old-female-with-shortness-of.html  This is a case of exacerbation of COPD due to possible RHF and bronchiectasis presenting with shortness of breath , generalised weakness , pedal edema, facial puffiness , drowsiness and decreased urine output. She’s a known case of diabetes and hypertension. An examination of all the systems and required investigations were done and possible right heart failure along with bronchiectasis was diagnosed. Due to already obstructive lung disease which increased the load on the right heart causing RHF. Bronchiectasis was another complication of COPD. Required medication for treating the symptoms was given like diuretics,steroids and antibiotics.Other associated therapies such as chest physiotherapy,thiamine and head end elevation was recommended. The patient was examined thoroughly and adequate investigations we...

I've been given these 3 cases to solve in an attempt to understand the topic of "patient’s 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 : 1 You can find the entire real patient clinical problem in this link here.. https://vaish7.blogspot.com/2020/05/medicine.html?m=1 Following is my analysis of this patient problems Chief complaints are - 1. Weakness of bilateral lower limbs since 5 days with tingling & numbness  2. Vomiting 5 days back 3-4 episodes, non-projectile, non-bilious, food particles as content  3. Gluteal abscess since 5 months 4. Scrotal abscess since 20 days WEAKNESS OF LOWER LIMBS  -...

A 55Y old male came to casuality with chief complaints of   _ pain abdomen( generalised) since 3 days associated with distention and tigheting _ vomitings( non projectile and non bilious) since 2 days and subsided. HOPI:   Pt. was apparently asympomatic 2 years ago then had complaints of abdominal pain with distention for which he went to hospital and took medication and got relieved.Then again  3 days back then developed pain abdomen which was generalised and associated with distention and tigheting. Vomitings since 2 days which got subsided.  - No H/o fever, headache, diarrhea. -  H/o alcohol intake 2 days back. Past history: No H/O of DM, HTN, asthma, TB, epilepsy Had laparotomy 25 years back H/O pancreatitis 2 years ago. Family history: NAD Personal history: Apetite : normal Diet: mixed Bowel and bladder: regular  Sleep : adequate Addictions: alcohol intake since 20 years, occasionally General examination: Patient was C, C, C No pallor, cyanosis, c...

A 50 year old male came to the opd with chief complaints of  Decreased urine output since 15 days Loss of appetite since 1 week Shortness of breath, facial puffiness, nausea and vomiting since 15 days. HOPI : The patient was apparently symptomatic 2 years ago when he developed low back ache along with pain in the knee joints, elbow and wrist joints for which they went to the local hospital and took analgesics and got relieved. Patient was normal for 1-2 weeks. Then again started developing multiple joint pains along with low back ache for which he used to go to local pharmacy and took some analgesics on and off for about 2 years. Inspite of not getting symptomatic relief, he developed decreased urine output along with vomitings which were non bilious and non projectile since 15 days for which he consulted the doctor where he was told the kidneys were affected and referred here for further evaluation on 8-06-21. On 8-06-21 : Urine albumin is 3+ Serum creatinine 16.6 mg/dl (.9-1.3)...