GENERAL MEDICINE- First internal 2019 batch

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 ch...

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. Sh...

41 Pravallika Gade

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