57 Vinila Bhavani Kanday

 Hello , this is Vinila Bhavani roll no 57, 3rd sem Student.    This assignment has been given to me to check the ability to connect and capture patient centered data and to engage in learning with peers.     This link has been given to us : http://medicinedepartment.blogspot.com/2021/07/2019-batch-medicine-department-online.html?m=1 Question 1  I have gone through the assignment of my frnd Mahendra roll no 56 -My friend has mentioned all the Symptoms , diagnosis and  chief complaints of patient along with his treatment details . -He has mentioned all the insights in detail  2)He discussed cases of interns that were given to him  - He didn't get a chance to make a blog . 3) He discussed clinical case of acute kidney injury and chronic kidney disease with uraemic encephalopathy .. He mentioned the Diagnosis as hypertensive nephropathy and the reason for this was glomerular ischaemia and glomerular hyperfiltration and the patient in this case was suffering with uremic encephalopathy

 65 yr old female patient , who is a daily wage labourer came to casualty in altered state  with complaints of : Episodes of slurring of speech since 1 day  Profuse sweating that resolved on having food. Patient was asymptomatic till yesterday 4 pm . patient was brought to casualty in uncounsious state   HISTORY OF PRESENT ILLNESS : Patient has no involuntary movements . Patient has history of sweating and snoring . HISTORY OF PAST ILLNESS : In 2014 patient was discovered with GIST - gastrointestinal stromal tumour on histopathological examination.  In 2016 patient was found to be Mets+ve and was treated with anticancer drugs . In 2019 he was again found to have Mets 16mm in liver . Eye movements1, verbal1, motor4  PERSONAL HISTORY : Diet - mixed  Apetite - normal Bowel movements - regular  Micturition - normal Patient use to drink alcohol occasionally . THERE IS NO RELEVANT FAMILY HISTORY . Patient was having diabetes . VITALS   Pallor - yes  Cyanosis - no  Icterus - yes ( mild ) 

 65 yr old female patient , who is a daily wage labourer came to casualty in altered state  with complaints of : Episodes of slurring of speech since 1 day  Profuse sweating that resolved on having food. Patient was asymptomatic till yesterday 4 pm . patient was brought to casualty in uncounsious state   HISTORY OF PRESENT ILLNESS : Patient has no involuntary movements . Patient has history of sweating and snoring . HISTORY OF PAST ILLNESS : In 2014 patient was discovered with GIST - gastrointestinal stromal tumour on histopathological examination.  In 2016 patient was found to be Mets+ve and was treated with anticancer drugs . In 2019 he was again found to have Mets 16mm in liver . Eye movements1, verbal1, motor4  PERSONAL HISTORY : Diet - mixed  Apetite - normal Bowel movements - regular  Micturition - normal Patient use to drink alcohol occasionally . THERE IS NO RELEVANT FAMILY HISTORY . Patient was having diabetes . VITALS  Pallor - yes  Cyanosis - no  Icterus - yes ( mild )  Lymp

   48 yr old male patient, resident of Chityala came to OPD with chief complaints of :    Oliguria since 3 days   Altered sensorium since 5 days Fever since 10days  HISTORY OF PRESENT ILLNESS :      Patient was admitted in hospital with decreased urinary output for which Foley catheter was placed for draining urine . He was asymptomatic an year back . He was diagnosed with prostatomegaly with right renal calculi.    Patient had bilateral lower limb weakness associated with oliguria .  PAST HISTORY : H/o HIV since 10yrs  No  H/O of diabetes , hypertension , epilepsy.    PERSONAL HISTORY:      SLEEP - adequate       DIET - mixed       APPETITE - normal   He use to drink alcohol of 250 ml occasionally and is a regular smoker .     THERE IS No RELEVANT FAMILY H/O .  general examination :     Patient is conscious but incoherent .  VITALS  Pallor - absent  Icterus - absent  Cyanosis - absent  Clubbing- absent  Oedema - absent  SYSTEMIC EXAMINATION :   ABDOMEN   Shape - obese  Bowel sounds pr

 The following are my interpretations and opinions from the cases that I observed and came across .  Q1)      Case 1  https://soumyanadella128eloggm.blogspot.com/2021/05/a-55-year-old-female-with-shortness-of.html Ans ) Diagnosis : COPD secondary to Bronchiectasis   Review :        As patient was having episodes of SOB she was put on BIPAP to increase Spo2 levels .      Patient was having electrolyte imbalance like hyponatremia hypokalemia hyperbilirubinemia  . This is because of usage of steroids and diuretics .    Case 2 https://swathibogari158.blogspot.com/2020/09/chronic-decompensated-liver-disease.html Ans) Diagnosis : cirrhosis of liver and ascites .  Review :       Patient was noticed having hyperbilirubinemia due to cirrhosis of liver .      Patient was chronic alcoholic suffering with ascites which caused hypoalbuminemia and reduced aldosterone synthesis .       Patient was given 2 eggs a day to treat hypoalbuminemia . Due to salt restriction patient also developed Cellulitis