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Internal assesment 5/9/2020

  1)1 Anatomical diagnosis : Renal system as decreased urine output and albuminuria ( explaining her B/L pedal edema abdominal distension and fascial puffiness : Glomerular pathology Etiological diagnosis: systemic illness Hypertension ,Diabetes causing diabetic nephropathy( nephrotic range proteinuria in a diabetic is taken as diabetic nephropathy unless otherwise proven) 2)Reason for azotemia : No hydroureteronephrosis with normal renal size and intact parenchyma with abnormal urine analysis : Hematuria and proteinuria ( glomerulonephritis /vasculitis) ? Glomerulonephritis reason for azotemia. Anemia : Looking at her peripheral smear microcytic hypochromic anemia : Iron deficiency anemia. Hypoalbuminemia: proteinuria ( because of glomerular barrier damage)causing hypoalbuminemia. Acidosis: high anion gap metabolic acidosis ( failure to excrete acids) Acute / Chronic renal failure. 3) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3946919/ Chronic metabolic acidosis may have various...

2 nd year may attendence

Friday, June 5, 2020 May 2020 PG Formative assessment and physical attendance for 2018 batch DEPARTMENT OF GENERAL MEDICINE PG’S FORMATIVE ASSESSMENT and PHYSICAL ATTENDANCE FROM 15.05.2020 TO 31.05.2020 (1 st  YEAR 2019-20 BATCH) May 15.05.2020 to 31.05.2020 (Total number of working days 17) S. No Name Formative assessment based on learning log   Physically Attended  Days Leaves 1 Dr. Sufiya   E log link 16 1 - 2 Dr. Manasa  E log link 16 1 - 3 Dr. Aditya E log link 17 - 4 Dr. Vamshi E log link 16 1 5 Dr. Satish E log link 14 3 - 6 Dr. Aravind. Eloglink   17 - - 7 Dr. Laxma reddy E log link 17 - - 8 Dr. Praneeth  E log link 16 1 - 9 Dr. Natasha - - - - 10 Dr. Radha  E log link 17 - -    

May attendence 2019 batch

Friday, June 5, 2020 May 2020 PG Formative assessment and physical attendance for 2019 batch DEPARTMENT OF GENERAL MEDICINE PG’S FORMATIVE ASSESSMENT and PHYSICAL ATTENDANCE FROM 15.05.2020 TO 31.05.2020 (1 st  YEAR 2019-20 BATCH) May 15.05.2020 to 31.05.2020 (Total number of working days 17) S. No Name Formative assessment based on learning log   Physically Attended  Days Leaves 1 Dr. Ajith Kumar E log click  16 1 - 2 Dr. K. Vaishnavi E log click 17 - - 3 Dr. A. Vaishnavi E log click 17 - 4 Dr. Zain Alam E log link 15 2 5 Dr. Sushmitha E log link 15 2 - 6 Dr. Aashitha E log click  17 - - 7 Dr. Rashmitha E log click 17 - - 8 Dr. Nikhitha S.T. E log click 17 - - 9 Dr. Divya Chaitanya E log click 17 - - 10 Dr. N. Ushasree E log click 17 - - ...
Medical leave= NA Casual Leave=0 Daily one liner logs: 15th may 2020: pleural tap of 65yr old male patient with moderate left sided pleural effusion 16th may : 2d echo done for the same patient to see whether there was a heart failure secondary to CKD 17th may : Sunday patients follow up with rounds 18th may : During RCT of imatinib in CML discussed about our 50 yr old male patient with ?leukaemoid reaction 19th may : OPD Duty day 20th may : Discussed Nerve conduction studies of our 22 yr old male with paraperesis 21st may : Internal Capsule anatomy and fibres 22nd may :  Endoscopic guided biopsy of our 50 yr old male with ?cholangiocarcinoma 23rd may: statins in preventing recurrent stroke 24th may: sunday rounds followed 25th may: follow up of our cholangiocarcinoma patient with surgery people 26th may: OPD duty day 27th may: Discussed about diarrhoea with metabolic acidosis 28th may: case presentation of 18yr old male with AIDP 29th may: review literatureS...

Ascitis

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 A 29 year old female from presented to us to opd on a wheel chair with complaints of                                chest pain                   abdominal  distension  since 1 month. History of present illness :  Patient was apparently asymptomatic one month back then she developed  chest pain on the left side stabbing type non radiating since one month and abdominal  distension gradual in onset progressive in nature since 1 month associated with shortness of breath grade 2 to 3 No history of pedal edema, palpitations , orthopnea and PND No history of constipation, Nausea , vomitings or diarrhoea No history of  fever ,  weight loss, cough No history of  hematemesis, melena, or yellowish discoloration of eyes. Going back to her history:  She got married in  2015 and  Concieved   in the m...