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General medicine case 20 sasidharreddy

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 GENERAL MEDICINE CASE DATE OF ADMISSION - 22/06/22 CHIEF COMPLAINTS - 45 yr old female came to OPD with chief complaints of swollen legs,leg pain,distended abdomen. HISTORY OF PRESENT ILLNESS  -C/O abdominal distension since 2months - pedal edema and shortness of breath since 2months. -k/o decreased appetite and loss of weight. HISTORY OF PAST ILLNESS   k/c/o DM and on INJ mixtard insulin k/c/o hypothyroidism and on T.Thyronorm k/c/o HTN and on T.Telma. TREATMENT HISTORY k/c/o DM,HTN Not a k/c/o CAD,TB,asthma,chemo,radiation and blood transfusion. PERSONAL HISTORY Mixed diet Appetite Normal Sleep adequate Bowel and Bladder movements regular. FAMILY HISTORY Not significant  PHYSICAL EXAMINATION Temp- afebrile BP-130/70 mm hg Pulse rate-98/min Respiratory rate-22/min Spo2-98% GRBS-540mg% -No signs of pallor,cyanosis,lymphadenopathy,icterus. SYSTEMIC EXAMINATION  CARDIOVASCULAR SYSTEM • S1, S2 heard • No murmurs RESPIRATORY SYSTEM: • NVBS heard •Position of trachea - central •Breath soun
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  BIMONTHLY GENERAL MEDICINE ASSESSMENT FOR THE MONTH OF AUGUST 2021 August 24, 2021 BHUMIREDDY SASIDHAR REDDY ROLL NO:20 3rd semester. 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 mo
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                                      NAME : BHUMIREDDY SASIDHAR REDDY                                       ROLL NUMBER ; 20  Hello all . This is sasidhar reddy, third semester medical student . this is an e lo depicting patient centered approach of learning. This log has been created after taking  concent from the patient and her family. Introduction A fifty nine years old male came to OPD with achie complaint of pain in the chest. Date of admission: 24.07.2021 CHIEF COMPLAINTS: > pain in the chest region during last 3 days  > distrubed sleep HISTORY OF PRESENT ILLNESS > patient was apparently started experiencing pain in the left side of the thoracic region since 3 days. > No haemoptysis. > No aggrevating. > No diurnal variations. > chest pain last three days , left sided, stabbing type , discontinuous. > No radiation but distrubed sleep. > No difficulty in takung respiration . > No H/O PND attacks . > No H/O Orthopnea. > No H/O fever with evening
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