BANGARI LAXMI RAJ BLOG

52 year old male farmer my occupation presented to the opd with chief complaint of  Bilateral swelling in lower limbs since 3 days The patient was apparently asymptomatic 1 week back then he developed  bilateral swelling over legs since 1 week is which started near the foot and gradually progressed to the knee. It was pitting type which resolved in between and again started 3 days back. He had similar complaints in the past for which he went to a local hospital and was advised on taking salt and water restricted diet. Medication:  telmesartan for hypertension since 2 years.  Addictions :He is a chronic alcoholic and smoker. Examination : Bilateral pedal edema pitting type found till knee on general examination. Respiratory system : Bilateral air entry present and normal vesicular breath sounds heard. CVS examination : No thrills, s1 s2 heard, no murmurs. Abdomen examination : no hepatomegaly or splenomegaly. No positive findings found other than edema. Investigatio...

65 year old female with fever , generalised abdominal pain and loose stools.   A 65 yr old woman, from narketpally who is house wife ,came to hospital with chief complaints of fever with chills since 8 days and pain abdomen since 6 days, loose stools since 6 days. History of presenting illness The patient was apparently asymptomatic 8 days back. Then she developed- -Fever sudden in onset,low grade,associated with chills and rigors, relieved on medication -Pain in lower abdomen 6 days ago, sudden onset continuous, cramping/dull aching type, aggravates with food intake. -Associated with  vomiting 2-3/day episodes, non bilious non projectile watery consistency. -Loose stools 6 days back multiple episodes in large volume watery, no tenesmus, no mucous or blood in stools.  -History of burning micturition since 4 days high colored urine, no froth/blood. -No hematemesis/malena. -No other complaints.  Past history : -History of diabetes type2 since 10years -History of...

 I've been given these three cases data here  https://alekyatummala.blogspot.com/2020/09/45-yr-female-with-anasarca.html?m=1    This may develop my competency in a) reading and comprehending clinical data related to the case including history, clinical findings, investigations b) come up with a diagnosis such as: 1) Anatomical location of the root cause 2) Physiological functional disability 3) Biochemical abnormalities that could be a root cause at a molecular level 4) Pathology that could reflect the root cause at a cellular level c) a treatment plan for each of these patients of paraparesis that can have a pharmacological and non pharmacological component. And d) learning the scientific basis of diagnostic and therapeutic approach in terms of past collective experiences and experiments (aka evidence based medicine) The first step to developing these competencies after reading and comprehending each patient data will be to a) create a problem list for each patient ...

 The complete case can be found here https://a-blog-by-adityarayilla.blogspot.com/2020/06/left-sided-pleural-effusion-case.html?m=1 What are the possible differential diagnoses?     chronic obstructive pulmonary disease (COPD)asthma,     pulmonary fibrosis     Congestive heart failure     pulmonary thromboembolism     pneumonia     neuromuscular disease     left pleural effusion points in favour and against each diagnosis at this point of time. pleural effusion     heaviness on left side     cheast pain     shortness of breath     decrease breath sounds on left side congestive heart failure     pedal edema     dyspnea     decreased urine output     against: no orthopnea or PND chronic obstructive pulmonary disease     dyspnea     beedi smoker pneumonia     dyspnea     against: patient is afebril...

  Laxmiraj Bangari 22 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 a diagnosis and treatment plan You can find the entire real patient technical problem in this link here: https://classworkdecjan.blogspot.com/2019/05/42-f-with-severe-regular-edema-with_17.html?m=1 The problems in order of priority are: 1. Headaches 2. Swelling 3. Left sided weakness 4. Sleep deprivation. 5. Fatigue due to exercise. Reasons for the problems are: 1.Headache.     Headaches started in very young age and became worse with menses at 14 and when she used hormonal contraceptives like nova ring( release oestrogen and progesterone).     These are migraine attacks which got severed later on.     Sometimes they are preceded by aura.      Earlier I thought it was just an...