General medicine - assignment

 27 May Name - Divya chennamadhavuni , 8th semester Roll number - 21 1. PULMONOLOGY : CASE 1 : A 55-year-old female with chief complaints of shortness of breath, pedal oedema and facial puffiness. https:// soumyanadella128eloggm. blogspot.com/2021/05/a-55- year-old-female-with- shortness-of.html PROVISIONAL DIAGNOSIS : Acute exacerbation of COPD associated with right heart failure and bronchiectasis. 1A) Her shortness of breath of GRADE 4 is due to the underlying COPD - bronchiectasis ,where there is permanent damage of the large bronchi and bronchioles which makes them abnormally dilated and thickened Anatomical localization : is in the bronchi and bronchioles Primary aetiology: The low oxygen levels due to COPD cause a  rise in blood pressure  in the arteries of the lungs, a condition known as pulmonary hypertension .  This increase in pressure places excess strain on the heart’s right ventricle as it works to pump blood through the lungs. As a result, the heart muscle weakens and