66.Sai.Aishwarya

  1.Define Heart failure, etiology, and clinical features of heart failure? How do we diagnosis heart failure clinically, physical examination and various modalities used in diagnosis of heart failure. Write a brief note of treatment of heart failure 2 .Define Cirrhosis of liver. Etiopathology of cirrhosis. Write a brief note on clinical features, diagnosis and treatment of cirrhosis of liver. 3.Elaborate on clinical features and diagnostic modalities in diagnosis of renal calculi 4.Etiology of pleural effusion diagnostic criteria of pleural effusion? 5.diagnosis and treatment of dengue fever?   6.clinical features and diagnosis of peptic ulcer disease 8.treatment of abdominal TB? 9.etiology and treatment of pnuemonia? 10.complications of dialysis ? 11.Ascitic fluid analysis 12.Proton pump inhibitors. 13.after load reducing agents in heart   14.treatment of urinary tract infection 15.diiferential diagnosis of fever with rash 16.insulin therapy in dm  17.antihypertensive drugs in chroni

  60 year old male patient , who works as a daily wage worker hailing from Palem presented to the hospital with- • reduced micturition and defecation since 2 months. • burning sensation on micturition since 2 months. HISTORY OF PRESENT ILLNESS • Patient was apparently asymptomatic 2 month  back. • The patient is a retired coolie who does work in the day. • He wakes up at 6am, roams around his village,  and he take rest at around 10pm. • 2 weeks after Dusshera (2 months back), patient suffered with a dizziness and cough which he attributes to "cold". • Patient was taken to an ENT specialist who ruled him clear of any problem. • The same day, the patient noticed an acute decrease in his defecation and micturition. • When patient was taken to the hospital in Nakrekal where he was diagnosed with Renal failure.  • He was put on Maintainance Hemodialysis since then. • Patient recollects that after 5 days of dialysis, patient's micturition and defecation was somewhat restored. 

 CHIEF COMPLAINT : A 33 yr old female Patient is presented to the opd with a compliments of fever, vomiting, and loos stools with pains in joint(Arthraliga) Pt. has an abscess over left thigh  Pt.was apparentaly asymptomatic 2 months back  HISTORY OF PRESENT ILLNESS: -Joint pains  -High grade fever  HISTORY  OF PAST ILLNESS: -pt . took self medication for fever  -2 months back pt.took vaccination and had fever, joint pains  for which the Patient went to rheumatologist in month of October TREATMENT HISTORY: Diabetes-No Hypertension-No Asthma-No T.B- No Blood transfusion-No PERSONAL HISTORY: Appetite - Lost  Diet- Mixed  Bowel- Regular  Mictiration - Normal NO ADDICTIONS  FAMILY HISTORY: Pt. Mother is a Known case of Diabetes and Hypertension for past 10 years  PHYSICAL EXAMINATION : A.GENERAL Pallor - Mild  Cyanosis - No Lymphadenopathy- No Malnutrition-No  Dehydration- Mild  Icterus- No Clubbing of fingers -No Oedema of feet - No INVESTIGATION: TREATMENT: Tab.Sporlac  Tab.Dolo Inj.Pant

  This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. A 15 years old male patient studying 9th class came to casuality with complaints of shortness of breath since 4 hours associated with acute chest pain since 4 hours. History of present illness: Patient was apparently asymptomatic 1 month back , patient complains of vomitings 2 to 3 episodes daily associated with food particles and not associated with blood. Patient gives history of fever 1 month back associated with chills which is relieved by using medication for 2 days. Incidentally he diagnosed raised urea 63 mg / dl and raised creatinine 8.3 mg/dl  went to Hyderabad with in one day urea has raised to 135 mg/dl and