1st internal assessment

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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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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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A 63 yr old female

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 A 63year old female with c/o neck pain and b/l knee pain since 1 year. C/O decreases urine output since 1 year History of presenting illness:  Patient was apparently asymptomatic 1year back then developed neckpain,insidious ,gradually progressive, aggravated on bending forward and relieved with medication. C/O b/l knee pain since 1 year insidious in onset and gradually progressive relieved with medication.  C/o decreased urine output since 1 year, no burning micturition , no frequency/urgency /hesitancy. No pedal edema, no SOB, no palpitations, orthopnea,PND  C/o belching,burning sensation in epigatrium . Past history: K/c/o hypothyroidism since 2years and is on medication.  Not known case of DM ,HTN ,epilepsy, asthma, TB  Personal history:  Diet: mixed Appetite: normal Sleep: adequate  Bowel and bladder : regular Addictions: none  Daily rotinue: she wakes up by 6am in the morning freshens up and goes for a walk.  She has breakfast by 8am and watches TV.  Talks to neighbour's and
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