Medicine Blended Assignment - May 2021

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First Internal Asessment

on October 11, 2020

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65 year Old Female With Heart Failure

This is an online elog documenting de-identified patient health data after taking his signed consent to enforce a greater patient centered learning. DEIDENTIFICATION - The privacy of the patient is being entirely conserved. No identifiers shall be revealed through out the piece of work whatsoever. CASE DISCUSSION - 65 year old female homemaker by occupation came to the casualty with C/o Pedal Edema, SOB, Left & Right Loin Pain since last 1 week. HOPI - Patient was apparently asymptomatic 1 week back, then she had SOB GRADE-IV not associated with cough; Pedal edema below knee; Right and left loin pain, non radiating. No H/o palpitations, sweating, cold, fever. No H/o burning micturition, decreased urine output, hematuria, dysuria, hesitation while passing urine. Past History - Not a k/c/o DM, HTN, CVA, CAD, TB, Epilepsy. Personal History - Married Occupation- Homemaker Diet: mixed Appetite: Decreased since last 1 week. Bowel and bladder : Normal Addictions: Toddy drinker(Stop

Medicine Blended Assignment - May 2021

Medicine Blended Assignment - May 2021 I have been given the following cases to solve in an attmept 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 diagnosis and coem up with a treatment plan. This is the link of the questions asked regarding the cases: http://medicinedepartment.blogspot.com/2021/05/online-blended-bimonthly-assignment.html?m=1 1) Pulmonology (10 Marks) A) Link to patient details: https://soumyanadella128eloggm.blogspot.com/2021/05/a-55-year-old-female-with-shortness-of.html Questions: 1) What is the evolution of the symptomatology in this patient in terms of an event timeline and where is the anatomical localization for the problem and what is the primary etiology of the patient's problem? Ans- Evolution of symptomatology in this patient is as follows- 20 years ago – 1st episode of shortness of breath Next 8 years

82 year old female with B/l lower limb weakness and pedal edema.

This is an online elog documenting de-identified patient health data after taking his signed consent to enforce a greater patient centered learning. DEIDENTIFICATION - The privacy of the patient is being entirely conserved. No identifiers shall be revealed through out the piece of work whatsoever. CASE DISCUSSION - 82 year old female patient came with C/O weakness of lower limb, Neck and shoulder pain since along with pedal oedema and fever since 10 days. HOPI - Patient was apparently asymptomatic 10 days back then she developed weakness of the lower limbs, sudden in onset, non-progressive. Also, C/O fever since 10 days low-grade not associated with chills and rigours, continuous, relieved on medication. C/O pedal oedema since 10 days, pitting type, from ankle to knee. No C/o chest pain, palpitations, cough, cold, LOC PAST HISTORY- K/c/o of HTN since 10 years(On medication- Telma 40mg) Not a k/c/o DM, Epilepsy, Seizures, CVA, Asthama, TB. PERSONAL HISTORY- Addictions- Nil. Appetite

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First Internal Asessment

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