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Biweekly exam

 1)Anatomical diagnosis -? Glomerulosclerosis                                                                        Etiological diagnosis -  ?? Nephrotic syndrome secondary to the diabetic nephropathy or CKD.     2)Reasons for I) Azotemia : impaired renal excretion of urea and creatinine secondary to CKD.  II) Anemia : decreased erythropoietin.  III) Hypoalbunemia: capillary basement membrane and podocytes damage.  IV)  acidosis: acidification of urine is lost.                                       3) Rationale : syp potchlor was given because of the hypokalemia.. Inj. NaHCO3 was given because of metabolic acidosis ..Insulin and antihypertensives are given because known case of DM and HTN. Orofer XT was given because of anemia.. Inj. Lasix was given to decrease her volume overload. Spironolactone was given it was a potassium sparing diuretic.Calcium was given to the patient  because of hypocalcemia secondary to CKD. Indications of NaHCO3:metabolic acidosis in cardiac arrest, Tricyclic
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LIKITHA’S ELOG

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  Hello everyone! This is Likitha, an intern posted in General medicine department.   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 is welcome. Here is a case which I have seen:- A 38 year old male patient has come to the opd on 04/09/20. He had 2 episodes of involuntary movements of both upper limb and lower limb with frothiness from mouth, up rolling of eyes which lasted for 2 minutes.  No  h/o involuntary micturition and tongue bite. No h/o chest pain, shortness of breath, weakness and deviation of mouth. The patient had
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LIKITHA’S ELOG

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Hello everyone! This is Likitha, an intern posted in General medicine department.   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 is welcome. Here is a case which I have seen:- A 50 year old male patient came to the opd on 27/08/20. Patient was apparently symptomatic 10 years back. Patient first went to the hospital with c/o fever, giddiness and sweating. Then local doctor observed high blood sugars and started on OHA 10 years back.  Later he had h/o trauma on 2nd toe of Rt LL 1 year back. Gradually his 3rd and 4th toes of R
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LIKITHA’S ELOG

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Hello everyone! This is Likitha, an intern posted very recently in General medicine department.  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. CASE- A 35 year old man from Nalgonda who is a cook by occupation came with the chief complaint of    pain abdomen since morning 6 am (06/08/20 ). HISTORY OF PRESENT ILLNESS:- •C/o pain abdomen since morning 6am at epigastric region which is sudden in onset, progressive, colicky type of pain( every 15-20mins)  •Aggravated on lying down, comfortable on lying sideways, radiating to back. •Associated with episodes of vomiting - Non
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