29 years old female homemaker by occupation came to the General Medicine OPD with the Chief complaint:- - B/L joint pains (knees) since 10 months - B/L itching in the upper aspect of chest and neck since 10 months History of present illness: —> Patient was apparently asymptomatic 10 months ago. Then she developed symmetrical b/l joint pains in the knees which was insidious in onset, gradually progressive, no aggravating factors and relieved on medication i.e. TAB. HYDROXYCHLOROQUINE 200 mg Associated with morning stiffness. — Around the same time she developed itching over neck and upper chest area. As a result of the itching, the area was initially red and turned black. — C/O Alopecia since 10 months. It was gradually progressive leading to severe hair loss over the past 10 months. Associated with thinning of hair. — C/O bilateral pitting type of pedal Edema and Edema over the dorsal aspect of hands. — C/O ...
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 patient's clinical problems with collective current best evidence based inputs". This E log book also reflects my patient-centred online learning portfolio and your valuable comments on comment box is welcome. CASE DETAILS :: This is a case of a 50YR old female patient who hails from a rural area of nalgonda district.. She came to the OPD with the chief complaints of , * BILATERAL PEDAL EDEMA since 4 days * DECREASED URINE OUTPUT since 4 days. * SHORTNESS OF BREATH since 4 days. HOPI :: Patient was alright 4 days back and performing her regular activities. Then she developed bilateral pedal edema which is of pitting type and involving feet and extending upto below knee l...
INTERNSHIP ASSESMENT Posted in department of general medicine from 12/12/22 to 11/2/23 GUMUDALA VISHAL ROLL NO :- 50 I was posted fisrt in Pyschiatry department (12-12-22 to 26/12/22) => learned about the importance of history taking its role in management of the disease => I have seen and learnt a few cases 1 Alcohol dependence syndrome 2 Tobacco dependence syndrome 3 schizophrenia 4 Depression 5 bipolar disorder learnt about the audit scoring and did for the patients came to op Unit duty :- 27/12/22 to 27/1/23 https://gumudalavishal.blogspot.com/2023/01/50-year-old-male-with-dka.html This is a case of diabetic ketoacidosis How is it diagnosed Complications of diabetic ketoacidosis Precipitating factors in the known diabetics Sugar trends hourly grbs Treatment It was treated by correcting the substantial hypovolemia ...
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