General medicine 1st internal assessment answers

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General Medicine monthly assignment

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 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
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60 YEAR OLD FEMALE WITH ACUTE GASTROENTERITIS AND PARALYTIC ILEUS

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 june 4, 2021 Chennamadhavuni Divya , 8th semester Roll number - 21 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 book also reflects my patient centred online learning portfolio and your valuable inputs on comment box is welcome   I’ve 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 diagnosis and treatment plan Following is the view of my case : Date of admission  : 31-5-2021  Chief complaints  -  A 60 year old female came to the OPD with the chief complaint
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44 year old male with bilateral pedal edema, shortness of breath and facial puffiness.

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  9th september ,2021 CHENNAMADHAVUNI DIVYA, 9th semester Roll number-21 This is an online E logbook 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 an available global online community of experts to solve those patients 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 are welcome.   I’ve 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 diagnosis and treatment plan. Following is the view of my case  : Date of admission  :21-8-2021     Chief complaints  : A 44 year old male patient has come to the opd with
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