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BIMONTHLY ASSESSMENT OF MARCH MONTH

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bimonthly examination - march 1) Please go through the patient data in the links below and answer the following questions: https://ashakiran923.blogspot.com/2021/03/60-years-old-male-fever-under-evaluation.html?m=1 a). What is the problem representation of this patient and what is the anatomical localization for his current problem based on the clinical findings?How specific is his dilated superficial Abdominal vein in making diagnosis? -Based on the clinical symptoms and signs, the clinical diagnosis of the patient can be-  UTI with cirrhosis of liver with portal hypertension.  b) What is the etiology of the current problem and how would you as a member of the treating team arrive at a diagnosis? What is the cause of his hypoalbuminemia?Why is the SAAG low? -The etiology of the disease in this patient could be a chronic history of alcoholism. Chronic smoking leading to his apthous ulcers.  Based on his clinical finding there could be portal hypertension which could have been preceeded
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FEBRUARY BIMONTHLY ASSESSMENT

FEBRUARY BIMONTHLY EXAM Questions: Q.1 ) Please go through the patient data in the links below and answer the following questions: 50 year man, he presented with the complaints of Frequently walking into objects along with frequent falls since 1.5 years Drooping of eyelids since 1.5 years Involuntary movements of hands since 1.5 years  Talking to self since 1.5 years  More here: https://archanareddy07.blogspot.com/2021/02/50m-with-parkinsonism.html?m=1 Case presentation links:  https://youtu.be/kMrD662wRIQ a) . What is the problem representation of this patient and what is the anatomical localization for his current problem based on the clinical findings? problem presentation: drooping of eyelids since 8 to 9 months refractory to treatment involuntary movements of bilateral upper limbs frequent episodes of fatigue since one year thin stream of urine with bed wetting since one year according to attenders  change in behavior (talking to self) since 1.5 years anatomical localisation of le
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A 68 year old female came to hospital with altered sensorium (since 20 mins) on time of admission GRBS was 33 mg /dl . After infusion of one 25 D , patient became normal within 15 minutes. She had similar episode in the night.  She had complaints of 1.) Decreased urine output since 10 days 2.) Vomitings and loose stools since 4 days Patient was apparently asymptomatic 10 days back. Then she had decreased frequency of urine at night ( from 10 episodes to 2 episodes ) . Not associated with any fever, burning micturation. 4 days back patient had 5 episodes of vomitings and loose stools . Vomitings - non projectile, containing food particles, mom foul smelling. Loose stools - watery in consistency, not associated with any bloody discharge , not associated with pain abdomen. History of past illness :- K/c /o DM 2 since 2 years using Glimiperide 2 mg + Metformin 500 mg 1.5 tab OD K/c/o  HTN since 2.5 years using Amlodipine 5mg Hydrochlorthiazide 12.5 mg Patient is on Deriphyll
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Unit II admission on 16/02/2021  DR. AMULYA ( INTERN)  DR. YAMINI ( INTERN)  DR. SURYA PRADEEP ( INTERN)  DR. ASHA KIRAN ( INTERN) DR. JAYANTH ( INTERN)  DR. VAMSHI ( INTERN) DR. ISMAIL  (INTERN) DR. PRADEEP ( PG 1st YEAR) DR. NIKITHA ( PG 2nd YEAR) DR. SUFIYA ( PG 3rd YEAR)  DR. SATISH ( PG 3rd YEAR) Faculty : DR. VIJAYALAXMI  This  is an 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 patient's 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 is welcome. Here is a case I have seen:  A 56 year old male who is a farmer  came to hospital with complaints of 1.) SOB on walking for short
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A 45 year old male came with complaints of vomitings, nausea and dark coloured stools since 5 days.

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Unit II admission on 09/02/2021  DR. AMULYA ( INTERN)  DR. YAMINI ( INTERN)  DR. SURYA PRADEEP ( INTERN)  DR. ASHA KIRAN ( INTERN) DR. JAYANTH ( INTERN)  DR. VAMSHI ( INTERN) DR. ISMAIL  (INTERN) DR. PRADEEP ( PG 1st YEAR) DR. NIKITHA ( PG 2nd YEAR) DR. SUFIYA ( PG 3rd YEAR)  DR. SATISH ( PG 3rd YEAR) Faculty : DR. VIJAYALAXMI  This  is an 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 patient's 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 is welcome. Here is a case I have seen:  A 45 year old male who is a farmer by occupation came to OPD with  1) C/o vomitings since 5 days 2) C/o nausea sin
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50 year old male, with complaints of shortness of breath and cough with sputum , distension of abdomen.

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Unit II admission on 02/02/2021  DR. AMULYA ( INTERN)  DR. YAMINI ( INTERN)  DR. SURYA PRADEEP ( INTERN)  DR. ASHA KIRAN ( INTERN) DR. JAYANTH ( INTERN)  DR. VAMSHI ( INTERN) DR. ISMAIL  (INTERN) DR. PRADEEP ( PG 1st YEAR) DR. NIKITHA ( PG 2nd YEAR) DR. SUFIYA ( PG 3rd YEAR)  DR. SATISH ( PG 3rd YEAR) Faculty : DR. VIJAYALAXMI  This  is an 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 patient's 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 is welcome. Here is a case I have seen:  50 year old male,waiter in hotel by occupation,came to casualty with complaints of SOB on exertion,distension of a
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