41 Pravallika Gade

PRAVALLIKA GADE , ROLL NO 41  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 more effective than Allopurinol in recent studies. Anasarca was the chief complaint of this vi

 A 30 YEAR OLD FEMALE WITH ABDOMINAL DISTENSION AND BILATERAL PEDAL EDEMA.    This is an online e log book to discuss our patients' identified health data shared after taking his/ her/ guardians consent. Here we discuss our individual patients' problems through a series of  inputs from an available global online community of experts with an aim to solve those patients' clinical problems with the collective current best evidence based inputs. This e- log also reflects a patient centered learning portfolio.     A 30 years old woman Presented to the OPD  with chief complaints of abdominal distension , dyspnea, bilateral pedal edema.    HISTORY OF PRESENT ILLNESS :   A 30 year old woman presented to the OPD with chief complaints of abdominal distension ,dyspnea ,bilateral pedal edema for 4 months. She is a mother of 4 children with 3 daughters and one son. Post NVD of  her son her abdominal distension did not resolve and b/ L pedal edema resolved on its own. And has a history o