C abhishek pre final paper 2

 
























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15 C.Abhishek general medicine assignment

  C.Abhishek medical assignment   MEDICINE BLENDED ASSIGNMENT May 24,2021 I have been given the following cases 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, investigation and diagnosis and come up with the treatment plan. This is the link of questions asked regarding the cases: http://medicinedepartment.blogspot.com/2021/05/online-blended-bimonthly-assignment.html?m=1 Below are my answers to the medicine assignment based on my comprehension of the cases.                                  PULMONOLOGY CASE 1 1)A 55-year-old female with shortness of breath ,pedal Edema ,and facial puffiness. https://soumyanadella128eloggm.blogspot.com/2021/05/a-55-year-old-female-with-shortness-of.html a)the anatomical localization of the problem is at the bronchioles...
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48 year old female with multiple system involvement

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  internal medicine post graduation 48 YEAR OLD WOMEN WITH MULTI-SYSTEM INVOLVEMENT. March 21, 2022   CBBLE UDHC SIMILAR CASES 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 . 48 year old female , resident of Hyderabad and home -maker by occupation, presented to casualty on 14/3/22 with complaints of , shortness of breath   since 1 week  - initially grade -2 later progressed to grade 4 . pedal edema  and   chest tightness   generalised weakness  and  fatigue and frequent falls   difficulty opening...
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36 year old female patient with Multi joint pain

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  January 06, 2022 36YEAR OLD FEMALE WITH JOINT PAINS, MALAR RASH, ORAL ULCERS A 36 years old female patient came with chief complaints  of Multi joint pain since 2 months ,morning stifness of joints since 1 month ,Menorrhagia since 1 month  HOPI Patient was apparently asymptomatic 2 months back, then she had rapid weight gain, menorrhagia, multiple joint pains, she visited a hospital and was found that her TSH was >100 mlU/L and was started on THYRONOME 100 micrograms. Her menorrhagia subsided, but she continues to have multiple joint pain (all small joints and large joints) associated with swelling of joints, morning stiffness for 30mins, on evaluation she was found to have CRP (+), Hb-10.8gm/dl, Uric acid-7.8 and was started on T. ALLOPURINOL100mg BD. Her joint pains are associated with on and off low grade fever since 2months, using T.PCM 650mg BD since 2months.  On Dec 29th:  ANA- 3.18(if >1.2 strongly positive) Anti CCP -1.4 UI/ml (Negative) Rh facto...
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