1st internal assessment

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vignesh

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  GENERAL MEDICINE CASE PRESENTATION Vignesh Roll no:- 05 3rd semester  This is 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 patients clinical problems with collective current best evidence based inputs.This e-log also reflects patients centered learning portfolio. ●Case scenario  A 49 yr old female patient came to opd with the chief complaints of Shortness of breath(SOB) -grade IV and worsening  History of present illness •SOB -5 to 6 months On exertion •Pedal edema and facial puffiness since 5 to 6 months •Red urine output •Fever -10 days -subside on medication-intermittent and low grade •cough with sputum since 10 days History of past illness •k/c/o Hypertension-1 yr Treatment History  Hypertension Treatment since 1 yr •Temla 40  mg tab Personal H
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5 A vignesh

  B I M O N T H L Y    B L E N D E D  A S S E S S M E N T  [JUNE 2021] Name: A vignesh, MBBS [3rd Semester] ROLL NO: 05 Question 1: Competency tested for peer to peer review and assessment: I have been given the following assignment in an attempt to read, comprehend, analyze,reflect, clinical data including history, clinical findings,investigations and diagnosis.  ANSWER 01 Case 1 Review 1  https://caseopinionsbyrollno05.blogspot.com/ PULMONOLOGY  https://caseopinionsbyrollno05.blogspot.com/2021/05/medicine-blended-assignment-may-2021.html   the given case shows chief complaints of shortness of breath, pedal edema and facial puffiness. The case is very well presented and easily understandable GASTROENTEROLOGY  Case 2 Review  https://caseopinionsbyrollno05.blogspot.com https://caseopinionsbyrollno05.blogspot.com/2021/05/medicine-blended-assignment-may-2021.html      A 29 year old patient presented to hospital with developing abdominal pain and also vomitings which was suddn in onset .He
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70 yr old male

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 Date of admission-12/09/23 Case scenario  A 70 yr old male resident of yadadri came to opd with  Chief complaints of -c/o burning micturition 15 days -c/o fever since 10 days -c/o blood in urine since a week -c/o urinary incontinence 1 week History of present illness Patient was apparently asymptomatic 15 days ago then he had burning micturition which is insidious in onset following he had fever which is associated with chills and rigor since 10 days which is relieved on medication  Pt complaints of blood in urine and urinary incontinence since 1 week Past history: *Details of patient's past history*  Pt was apparently symptomatic till 2014 then he developed blood in urine and urinary incontinence for which he visited hospital on 1st Feb 2014 following visit   *Ultrsonograpy of abdomen and pelvis done*  IMPRESSION; •diffuse urinary bladder wall thickening Significant right parailiac nodes  *CYSTOSCOPY EXM:* bladder growth specimen is collected IMPRESSION Urothelial(transitional) c
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