GENERAL MEDICINE ASSIGNMENT- MAY 2021

bed 3 60yr/M A 60 yr old male daily wage labourer by occupation b came to the casualty with chief complaints of fever with chills since 10 days c/o dry cough since 10 days c/o burning micturition since 10 days patient was apparently alright 10 days ago and then developed high fever which was intermittent , associated with chills ,relieved with medication/o dry cough not associated with sputum since 10 days,SOB since 10 days which was intermittent C/o burning micturition since 10 days no c/o of vomitings, loose stools history of pulmonary kochs 3 yrs ago used ATT for 6 months , (coughassociated with sputum and low gade fever) past history not a known case oc HTN,DM,CAD ,CVA appetite- normal bowel movements- regular micturition- normal no addictions no significant family history general examination no pallor,icterus, cyanosis, lymphadenopathy and edema pulse rate: 104bpm BP: 110/80 mmHg respiration: 29/min spo2 : 98%at RA CVS s1,s2 heard RS : BAE + ,NVBS,...

AMC 4 th bed 34yr/M A 34 yr male barber by occupation came to the opd with chief complaints of giddiness and fall 3 days ago patient was apparently alright 5 years back in 2016- patient had jaundice,for which he used herbal medicine following which he had binge alcohol and severe loose stools,watery consistency (20 episodes/day) - for which he was admitted in outside hospital ,patient reports that he was in altered sensorium for 3 days in ICU during that admission (no records available).3 pints PRBC transfusion in ICU was done at that time of hospital stay.since discharge patient was fine and in 2018 patient went for regular check up ,he says blood investigations were normal at that time 3 days ago- patient c/o giddiness and fall in washroom with injury on left side of forehead ,then he went to a local RMP and on routine investigation was found to have pancytopenia and was referred here ,no h/o any ENT bleed , convulsions,LOC, blood loss during fall ,he complaints of generalised ...

Medicine assignment for the month of May 2021 Name:E.Siddhanth I have been given the following cases 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, investigation and diagnosis and come up with the treatment plan.This is the link of questions asked regarding the cases  http://medicinedepartment.blogspot.com/021/05/online-blended-bimonthly-assignment.html Below are my answers to the medicine assignment based on my comprehension of the cases.                               1)PULMONOLOGY         CASE-1 : https:// soumyanadella128eloggm. blogspot.com/2021/05/a-55- year-old-female-with- shortness-of.html 1Q)What is the evolution of the symptomatology in this patient interms of an event timeline and where is the anatomical localisation for the problem and ...