General medicine monthly assignment

  Bimonthly blended assessment - October 2021 25 october 2021 Name: V Dedeepya Roll no.- 136 Batch: 2019 (3rd sem)   I have been given the following assignment to analyze , and review, in an attempt to understand the topic of 'Patient clinical  data analysis' to develop my competency in reading and to comprehending clinical data including history, clinical findings, investigations and diagnosis. This is the link of questions asked in the bimonthly assignment: https://medicinedepartment.blogspot.com/2021/10/oct-2021-formative-bimonthly-blended.html?m=1 QUESTION 1 Critical Appraisal - GASTROENTEROLOGY - https://63konakanchihyndavi.blogspot.com/2021/10/a-case-discussion-on-chronic-liver.html - The case discussed is of Chronic liver failure and kidney disease. - The case is very well explained. - The main abnormalities of patient are highlighted which are easy to grasp.  - There is a video link kept which is very clear about ascitic tap. CNS -  http://keelasreevalli.blogspot.com/20

 GM CASE August 16,2021 V.Dedeepya Roll no.- 136 Below is an E-log describing patient centered data approach and discussion regarding patient de- identified health data. CHIEF COMPLAINTS: A 75 yrs old male patient came to casuality with cheif complaints of shortness of breath,loose stools and fever since 4 days. HISTORY OF PRESENTING ILLNESS: Shortness of breath Loose stools Low grade Fever PAST HISTORY: The patient had a history of TB seven years ago and took medication. A known case of hypertension. Had renal failure 1 year back and is on conservative treatment for 4 months PERSONAL HISTORY: H/o smoking and alcohol but stopped a year ago but now stopped. Not a known case of DM. VITALS: Patient was C/C/C PR :  97BPM. RR : 27 CPM BP : 120/90 mm of Hg.  Spo2 : 90 % at RA.  GRBS : 120 mg/dl  GENERAL EXAMINATION- Patient is  thin built and malnourished.  Pallor is present. No icterus, cyanosis, lymphadenopathy, Clubbing.  SYSTEMIC EXAMINATION: Cvs: S1 and S2 heard,no murmurs Resp: inspira