GENERAL MEDICINE ASSESSMENT

 I am  P. Sri Chandana, MBBS 3rd semester,

Roll. No: 98.

 QUESTION 1:

          CASE 1: NEUROLOGY


             https://143vibhahegde.blogspot.com/2021/05/wernickes-encephalopathy.html

                      A 40 year old male with cheif complaints of irrelevant talking and decreased food intake.

      - HISTORY:

            • 2 - 3 episodes of seizures, 1 year ago and

               4 months ago.

            • Short term memory loss since 9 days.

            • Type 2 diabetes since 2 years.

            • No history of hypertension, CAD, TB, 

              Asthma.

             • Alcoholic since 12 years, Smoker.

     -INVESTIGATIONS:

            • Chest X-Ray



            • ECG report

            • Blood picture

            • Serum electrolytes 

            • LFT, RFT

            • ABG

            • 2D echo

            • Ultrasound Abdomen

            • Psychiatry Reference

      -DIAGNOSIS:

             1. Wernicke's encephalopathy secondary

                 to chronic alcohol dependence.


            2. Uraemic encephalopathy.


            3. Alcohol Withdrawal delirium.


QUESTION 3 & 4: ABDOMINAL

https://casescape.blogspot.com/2021/06/acute-kidney-injury-secondary-to.html?m=1

     60 year old patient with cheif complaints of 

      Pedal edema, fever and decreased urine                  output since 10 days.

        - INVESTIGATIONS:

                 • Complete urine examination

                 • ECG

                 • Serum Creatinine

                 • Blood sugar 

                • Serum electrolytes

                • Haemogram

                • ABG

                • Urinary potassium 

       - DIAGNOSIS:

               • Acute kidney injury 

               • Secondary to Urosepsis

               • Hyperkalemia

      - TREATMENT:

           • Inj LASIX 40 mg IV/TID [ 1 -1 - 1 ]


              • Tab Norflox 200 mg PO/BD


              • Tab ULTRACET 1/2 tab QID[ 1/2 - 1/2 -

                 1/2 - 1/2 ]


              • Tab OROFEA - XT PO/OD


             • Tab SHELCAL-CT PO/OD


             •  Inj HAI s/c TID [ 10U - 8U - 8U ]


             • BP/PR/SO2/Temperature monitoring


             • GRBS charting


            • Strict I/O charting

                

QUESTION 5:

              As they are conducting online its a little

              hard to understand and to interact with

              the patients. But with the ongoing 

              classes you are making it easier for us

              to understand and I'm thankful for the 

              General medicine department for helping

              us understand better. 

Comments

Post a Comment

Popular posts from this blog

A 60 y/o female with SOB and cough

Image
This is an a 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 series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. I have been given this case to solve in an attempt to understand the topic of " patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with diagnosis and treatment plan 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.  CH
Read more

GENERAL MEDICINE CASE BLOG

Image
 A 65 year old male came admitted in hospital  for regular daislysis . Chief complaints: Facial puffiness, pedal odema,shortness of breath  History of presenting illness:- Patient was apparently asymptomatic 2 yrs back The he suddenly developed fever,generalised weakness for which he visited local hospital. After examination and investigations done  Patient was diagnosed with hypertension and renal failure and was referred to another hospital in Hyderabad. There he was treated with medications and patient was almost normal for an year and continued his daily activities. After 1 yr patient stopped his medication and started consuming alcohol and toddy. Then he developed symptoms of fever,severe facial oedema ,pedal oedema ,hypertension,shortness of breath,cough,oliguria,loss of appetite. Now he again revisited the hospital in Hyderabad after examination and investigations he was diagnosed with complete renal failure and suggested to get dialysis done . Patient came to narketpally and ad
Read more