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GENERAL MEDICINE- First internal 2019 batch



GENERAL MEDICINE FIRST INTERNAL PAPER 

G PRAVALLIKA 

2019 BATCH , 2ND MBBS 

ROLL NO 41 



























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A 25 yr old female with fever since 3 days

  Name: G.Pravallika   Roll no 41 This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed 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 collective current best evidence based input. The patient/ attender was informed the purpose of the information being acquired. An informed consent was taken from patient/ attender and there is omission of information that was requested to be omitted.  Date of admission: 28/11/23 A 25 yr old female with the chief complaints of  ℅ fever since 3 days ℅ passage of loose stools since morning-3 episodes  ℅ vomitings since morning History of presenting illness: Pt was apparently asymptomatic 3 days ago then she developed fever insidious in onset, gradually progressive high grade. No aggravating or relieving factors. Then

BIMONTHLY GENERAL MEDICINE ASSESSMENT FOR THE MONTH OF AUGUST 2021

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 35 YEAR OLD FEMALE PATIENT WITH FEVER AND THROMBOCYTOPENIA - DENGUE

  A 35 YEAR OLD FEMALE WITH FEVER AND THROMBOCYTOPENIA   This is an online e log book to discuss our patients' deidentified 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.     NAME : G PRAVALLIKA ROLL NO: 41 3RD SEMESTER    A 35 years old woman presented to the casuality with chief complaints of fever, cold , vomiting and cough.   HISTORY OF PRESENT ILLNESS :   A 35 year old woman presented to the casuality with chief complaints of  fever since 1 week, cough since 1 week and vomiting since that morning on 17/10/21. She has been having low grade , intermittent fever with no diurnal variation and non productive cough. She also had 3 episodes of non projectile, n