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BI MONTHLY EXAM

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Bimonthly exam March 2021 March 21, 2021 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? -Based on the clinical symptoms and signs, the clinical diagnosis of the patient can be-  UTI with cirrhosis of liver with portal hypertension.  b) What is the etiology of the current problem and how would you as a member of the treating team arrive at a diagnosis? What is the cause of his hypoalbuminemia?Why is the SAAG low? -The etiology of the disease in this patient could be a chronic history of alcoholism. Chronic smoking leading to his apthous ulcers.  Based on his clinical finding there could be portal hypertension which could have been preceeded by cirrhosis
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60 YEARS OLD MALE WITH ASCITIC, HYPOPROTIENEMIA,RENAL DYSFUNCTION, with DECREASED URINE OUT PUT

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UNIT 2 ADMISSION  (9/3/2021) DR ASHA KIRAN  (INTERN) DR  AMULYA  (INTERN) DR YAMINI (INTERN) DR JAYANTH (INTERN) DR PRADEEP (INTERN) DR VAMSHI (INTERN) DR ISMAIL (INTERN) DR PRADEEP  (PG 1ST YEAR  ) DR DIVYA (PG 2ND YEAR) DR SUFIYA (PG 3RD YEAR) DR SATISH (PG 3RD YEAR) DR VIJAYALAXMI ( FACULTY) A 60 YEARS OLD MALE  CAME  TO CASUALTY WITH COMPLAINTS OF FEVER SINCE  15 DAYS, SOB SINCE  3 DAYS HISTORY  OF  PRESENT ILLNESS  PATIENT WAS APPARENTLY ASYMPTOMATIC  BEFORE,  HE DEVELOPED   FEVER  SINCE 15 DAYS, (HIGH GRADE),INTERMITTENT, NOT ASSOCIATED  WITH CHILLS AND, RELIEVED WITH MEDICATION.  NO H/O COUGH, NO SPUTUM, COLD, PAIN ABDOMEN  BURNING MICTURITON +,  INTERMITTENTLY SOB  +,ON EXCERTION  LATER PROGRESSED TO REST  , NO ORTHOPNEA, NO PND ,NO CHEST PAIN NO PALPITATIONS, NO PEDAL EDEMA.  ON /OFF  FACIAL  PUFFINESS  + ?APTHOUS  ULCERS, DIFFICULTY  IN SWALLOWING  . HISTORY OF PAST ILLNESS  NOT A K/C/O DM 2, HTN  NOT A   K/C/O  CAD ,CVA, ASTHAMA, EPILEPSY.  K/C/O CKD ON CONSERVATIVE  MANAGEM
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42 YEAR OLD FEMALE ? MENINGOENCEPHALITIS? VIRAL / TUBERCULAR

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UNIT  2 ADMISSION  (2/3/21) DR  ASHA  ( INTERN   DR  AMULYA (INTERN) DR YAMINI (INTERN) DR JAYANTH  (INTERN) DR PRADEEP ( INTERN) DR VAMSHI (INTERN) DR ISMAIL  (INTERN) DR PRADEEP  ( PG 1ST YEAR) DR  DIVYA (PG 2ND YEAR) DR SUFIYA (PG 3RD YEAR)) DR SATISH  (PG  3RD YEAR) A  42 YEAR  OLD  FEMALE  PATIENT  FARMLABOURERBYOCCUPATION C/ O FEVER  SINCE  5 DAYS , ALTERED  SENSORIUM  SINCE  3 DAYS  , IRRELEVANT  TALKING  SINCE  4 DAYS ,  PATIENT  HAD  INVOLUNTARY MOVEMENTS  OF RT UPPER  LIMB TODAY  , FOR  WHICH  SHE  WAS BROUGHT  TO HOSPITAL   PATIENT WAS  APPARENTLY ASYMPTOMATIC  5 DAYS  BACK  , SHE HAD  NO  OTHER COMPLAINTS  OR  NO HOSPITAL  TREATMENT  / VISTS  BEFORE  .   PATIENT  DEVELOPED  FEVER  SINCE  5 DAYS  HIGH  GRADE  , INTERMITTENT ,ASSOCIATED WITH  CHILLS AND  RIGORS  . RELIEVED  WITH MEDICATION  ON RMP  TREATMENT PATIENT  HAD  2 EPISODES  OF  VOMITING  ON DAY 1 OF  FEVER  SUBSIDED   WITH MEDICATION  , SHE ALSO  COMPLAINTS  OF HEADACHE  WHEN  SHE  WAS  WELL. THEN PATIENT  STARTED 
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