Medicine cases

  Final practical long case This is an online E-log book to discuss our patients de-identified health data shared after taking his /her/ guardian informed consent here we discuss our individual patients problems through series of input from available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs. Date of admission - February 3  43 year old female patient presented to the opd with chief complaints of low backache since 2 days, vomitings and pain in the abdomen since 1 day.  History of present illness- Patient was apparently asymptomatic since 6 years back , then she had anasarca for which she was admitted in hyderabad. There she was diagnosed with hypothyroidism ( tab. Thyronorm 50 micrograms  ),renal failure (tab. Torsemide 20 mg+spironolactone50mg) and diabetes mellitus for which she was on injection Mixtard and increased in doses since 1 and half year.  Now she presented to the opd with pain

 01.Define heart failure. Etiology and clinical features of heart failure . How do we diagnose heart failure clinically., physical examination and various modalities used in diagnosis of heart failure. Write a brief note on heart failure.  02.Define cirrhosis of liver. Etiopathogenesis of cirrhosis. Write a brief note on clinical features diagnosis and treatment of cirrhosis of liver.  03.Elaborate on clinical features and diagnostic modalities in diagnosis of renal calculi.  04.4. Etiology of pleural effusion and diagnostic criteria of pleural effusion? 05. Diagnosis and treatment of dengue fever. 06.Clinical features and diagnosis of peptic ulcer 07.Treatment of acute pyleonephritis 08.Treatment of abdominal tuberculosis.  09.Etiology and treatment of pneumonia.  10.complications of dialysis.  11.Ascitic fluid analysis 12.Proton pump inhibitors.  13.Afterload reducing agents in heart failure.  14.Treatment of urinary tract infections 15.Differential diagnosis of fever with rash. 

 December 18,2021. 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. A 34-year-old female patient presented to the casuality with chief complaints of vomiting since three days which is associated with giddiness and generalised weakness History of present illness: 34 yrs old female ,daily labourer by occupation, resident of Choutuppal got married at the age of 15 has three children.  Patient was apparently assymtomatic six months back then she had complains of recurrent episodes of vomiting 2-3 episodes per day  Vomiting containing