146 Venkata Meghana Badam

Name - Venkata Meghana Badam Roll no - 146 3rd semester   QUESTION 1: LONG CASE:   This is primarily a case of Acute glomerulonephritis, likely due to Secondary Amyloidosis due to Chronic Poorly Treated Seronegative Erosive Rheumatoid Arthritis . The patient presented with bilateral, symmetric, pitting type of edema which was extending upto the middle of his leg. The patient also had chronic pain in the joints leading to restriction of movement since 2011. Upon previous hospital visits, the RA factor was negative. Therefore, the patient was prescribed analgesics and sent home. Chronic use of analgesic drugs was seen from 2011-2019, the details of which were undocumented. Hyperuricemia was also observed in one of his recent visits during last year and Febuxostat was prescribed as it has proven to be more effective than Allopurinol in recent studies. Anasarca was the chief complaint of this visit for which through testing and examinations were done. Liver and cardiac causes were ruled ou

Venkata Meghana Badam 3rd sem, roll no -146 Under the guidance of Dr. Manasa( intern)  This is an online e-log platform to discuss case scenarios of a patient with their guardian's permission. I have been given this case 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, investigations, and come up with a diagnosis and treatment plan. CASE SCENARIO: A 18 yr old female came to causality which chief complaints of giddiness HISTORY OF PRESENT ILLNESS: The patient was asymptomatic till 4 pm today . She had onset of giddiness not associated with nausea blackouts, blurring of vision, sweating, loss of consciousness, involuntary movements, headache, palpitations and chest pain.  Dizziness since 2 pm today not reliving with rest and food intake.  No history of vomitings, loose stools and loss of appetite.  Last menstruation 28/06/2021. HISTORY OF PAST ILL

 Aug 04, 2021 Venkata Meghana Badam Roll no -146 , 3rd sem    Under the guidance of Dr. Manasa (intern)    This is an online e-log platform to discuss case scenarios of a patient with their guardian's permission. I have been given this case 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, investigations, and come up with a diagnosis and treatment plan.  CASE SCENARIO      A 80 yr old female came to casuality on 03/08/2021 with cheif complaints of high grade intermittent fever, chills and rigor since yesterday, 2 episodes of loose stools since yesterday, vomitings - 3 times  HISTORY OF PRESENTING ILLNESS       The patient was asymptomatic 2 days ago after which she develop high grade intermittent fever, chills and rigor, 2 episodes of loose stooles, vomitings -3 times  Bilious /non Blious??  No H/O of pain abdomen, cold, cough, burning Micturitio