General medicine

  Hello everyone.. I am varshitha , an intern posted in medicine department and one of the important terms of getting the internship completion is to complete my log book with my online log of what I learn during the course of my duties. 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 problems with collective current best evidence based inputs. This E log book also reflects my patient-centred online learning portfolio and your valuable inputs on the comment box is welcome Here is a case I have seen- A 55 year old male who is a farmer by occupation came  to the opd with the complaint of abdomen distension since 1 week associated with b/l pedal oedema  HISTORY OF PRESENT ILLNESS Patient was apparently asymptomatic 10 years back , then he noticed abdominal distension associated with b/l pedal oedema for which they went to kamineni hospital where the patient was told tha

                              Varshitha Appidi                                 Roll no - 144 Question 1— 1)Anatomical diagnosis -? Renal -Glomerulosclerosis                                               Etiological diagnosis -  ?? Nephrotic syndrome secondary to the diabetic nephropathy or CKD.      2)Reasons for I) Azotemia : impaired renal excretion of urea and creatinine secondary to CKD.  II) Anemia : decreased erythropoietin.  III) Hypoalbunemia: capillary basement membrane and podocytes damage.  IV)  acidosis: acidification of urine is lost.                                       3) Rationale : syp potchlor was given because of the hypokalemia.. Inj. NaHCO3 was given because of metabolic acidosis ..Insulin and antihypertensives are given because known case of DM and HTN. Orofer XT was given because of anemia.. Inj. Lasix was given to decrease her volume overload. Spironolactone was given it was a potassium sparing diuretic.Calcium was given to the patient  because of hypocalcemia

Hello everyone.. I am varshitha , an intern posted in medicine department and one of the important terms of getting the internship completion is to complete my log book with my online log of what I learn during the course of my duties. 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 problems with collective current best evidence based inputs. This E log book also reflects my patient-centred online learning portfolio and your valuable inputs on the comment box is welcome Here is the case I have seen- A 61 year old female came to the opd with the chief complaint of fever since 6 days ,headache since 6 days ,body pains since 6 days, vomiting since morning (3/09/2020)    History of presenting illness- Patient was apparently asymptomatic    6 days back,then she developed fever which was insidious in onset,lowgrade, intermittent type ,No h/o night sweats .Patient gave H/o