Shriya's Elog

Submission of bimonthly assessment for the month of march Question 1: 1) Please go through the patient data in the links below and answer the following questions: https://ashakiran923.blogspot.com/2021/03/60-years-old-male-fever-under-evaluation.html?m=1 a). What is the problem representation of this patient and what is the anatomical localization for his current problem based on the clinical findings?How specific is his dilated superficial Abdominal vein in making diagnosis? Answer -- Problem presentation: From history : ⏩High Grade Fever intermittent since 15 days reliving with medication not associated with chills rigor  ⏩ SOB (grade 2-3 ) progressed to grade 4 occurring even on rest since 3 days  ⏩Pain in abdomen + ( didn't mention the duration)  ⏩on and off Facial puffiness + ( progression not being mentioned)  ⏩ Chronic smoker and Chronic alcoholic (duration not being mentioned)  , ⏩apthous ulcers Examination findings: Pallor + Cvs-apex beat in 6th ICS- pointing displaced

unit 5 admission  Interns  Dr. Sridevi  Dr. Mourya Dr. Shriya Dr. Sowmya Dr. Anjali  Dr. Natasha ( Pg Y3)  Dr. Zain Alam( Pg Y2)  Dr. Shashi kala ( Pg Y1)  Dr. Shailesh Patil( Pg Y1)  Dr.Praveen Naik Assc prof  Dr. Rakesh Biswas HOD 31 year old male complaints of pain in epigastric region  since yesterday night.  HOPI Patient was apparently asymptomatic till yesterday night then developed pain in the epigastric region, pricking type which was radiating to back associated with one episode of vomiting- food particles as content , non bilous, non projectile No h/o fever, chest pain, pedal edema , constipation, SOB , giddiness, headache , nausea.  Past history--  Not a known case of DM, HTN, TB, epilepsy  No similar complaints in the past  Personal --Alcoholic since 10 years --whiskey 180ml/day O/e  Pt ccc  Bp-110/80mmhg  Pulse -84 bpm  P/A- tenderness present in epigastric region  Diagnosis-Acute interstitial pancreatitis with alcohol dependence syndrome 

Submission of bimonthly assessment for the  month of feb 2021 Q.1) Please go through the patient data in the links below and answer the following questions: 50 year man, he presented with the c/o Frequently walking into objects along with frequent falls since 1.5 years Drooping of eyelids since 1.5 years Involuntary movements of hands since 1.5 years  Talking to self since 1.5 years  More-https://archanareddy07.blogspot.com/2021/02/50m-with-parkinsonism.html?m=1 Case presentation links: https://youtu.be/kMrD662wRIQ Problem presentation- ⏩Involuntary movements of both upper limbs  ⏩Drooping of eyelids ⏩Talking to self  ⏩Frequent falls (while walking on steps)  All the above from 1.5 years.  Localisation of lesion- ➡Drooping of eyelids  is called as ptosis and our patient has Bilateral ptosis B/l ptosis - is because of weakness in  levator palpebrae   superioris  muscle and  muller  muscle which is because of ------ 1)⏩➡muscle involvement  2) ⏩➡nerve involvement (3rd cranial nerve)  3) ⏩

Unit 5 : admission on date :12/2/2021 Dr. Praveen Naik assoc professor  Dr. Natasha mam( Pg Y3)  Dr. Zain Alam( Pg Y2)  Dr. Sashi kala ( Pg Y1)  Dr. Shailesh Patil( Pg Y1)  Interns Dr. Shriya  Dr. Sridevi Dr. Sowmya Dr. Anjali Vishwas Dr Mourya This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent.  Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs.  This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box is welcome. C/o shortness of breath since 2 months  C/o pedal edema since 2 months.  Hopi- patient was apparently asymptomatic 2 months back then developed pedal edema(pitting type) upto knee which was sudden in onset and gradually progressi