Medical blog by 76. Spandana Patil

   A 35 yrs female ,came to OPD with complaints of swelling in abdomen since 15 days.   History of present illness:   Patient was apparently asymptomatic 15 days  back . She developed fever which is mild onset ,gradually prognosive associated with chills and rigor. patient has suffered from loss of appetite from 10 days . Past history: No history of chest pain ,Hypertension palpitations,cold ,cough  no history of diabetes,epilepsy,TB,tyroid disorder.    Personal history: Diet-mixed Appetite-loss of appetite  Bowel and bladder-irregular  Sleep-normal  Addictions none  Family history: No history of DM/HTN/TB/ asthma/ thyroid  No similar complaints in the family previously  General examination: -Patient is conscious,coherent,and cooperative   No pallor or cyanosis Or icterus or clubbing  No lymphadenopathy  Malnutrition is observed ,  No Dehydration or odema  Vitals: Temp -99.5 C/F...

 Essay - Acute pancreatitis   Short notes  3. Dengue  6. Cardiogenic pulmonary edema  10. Ascites 7. Rheumatoid Arthritis                                                        8. Leptospirosis                           9 .Heart failure                                                                                      4. Cushing syndrome ( short answer-4 marks )  and  14 .Renal artery stenosis  ( very short answer -2 marks )                   15. Acute kidney ...

CASE:- Chronic kidney disease  CheIf complaint -  A    40 year old man , is a farmer by occupation came with the complaints of Pedal edema    since 3 months , along with facial puffiness , Shortness of breathe ( Grade 4) and  Decreased urine output since 3 months HISTORY OF PAST ILLNESS:- Not a known case of hypertension, diabetes, asthma, epilepsy, tuberculosis. PERSONAL HISTORY:- Patient takes mixed diet, normal appetite sleep adequate(sleeps about 6-7 hours at night, wakes up early in the morning for work). Bowel and bladder habits are regular. No addictions. GENERAL EXAMINATION:- On examination:  Patient is conscious, coherent Vitals- Temp: afebrile PR: 84. bpm BP: 130/70 mm hg RR: 24 cpm GRBS: 136    mg /dl  SPo2 - 98%  No Pallor  No Icterus No signs of cyanosis, clubbing, koilonychia.  Pedal edema is present .  PER ABDOMEN: soft, non tender CVS: S1S2 heard RS: BAE +, NVBS+ CNS: NAD  Investigations: Hb:...

  60 yr old female, presented to the casualty with cheif complaint of pedal edema from one month and facial puffiness for the past 15days. HISTORY OF PRESENT ILLNESS:  S0B since a day  Bilateral pedal edema since 1 month  Facial puffiness and Abdominal distension for the past 15 days. HISTORY OF PAST ILLENESS: She is a resident of Miryalaguda, having 4 children. Patient used to work as ayamma in govt Hospital she stopped working 5 years ago due to jaundice and abdominal distension. Patient  is chronic alchoholic and non smoker History of one episode of seizure 8 years ago. No other seizure episode till date. 5 years ago patient had History of abdominal distension and jaundice- she visited our hospital and got admitted. Records are not available. She was on irregular medication since then. 2 years ago patient was again admitted in our hospital in the view of SOB and pedal edema- she was diagnosed to have Right Heart failure and moderate PAH and CLD and AKI....

GM Case history -2 August 23rd Date of admission    - 22-01- 2021  A 22y- old - woman    presented with    blurry vision .   History of Present illness  The patient was apparently asymptomatic    8months back ,then she had blurry vision for a week    and Hypertensive ( BP 220/70mm Hg)    .Consulted to an Opthomologist , found a clot in the eye , suggested a complete body scan .  History of Past illnes -  No history of Weight loss. Not a known case of HTN, CAD, Asthma, TB, Epilepsy, Thyroid disorders. No history of surgeries and blood transfusions in the past.  Personal History  No history of consumption of alcohol. History of low /minimum intake of water . FAMILY HISTORY - No history of DM, hypertension, CVA, CAD, Asthma, Renal disorders. Thyroid disorders in the family. GENERAL EXAMINATION - Patient is conscious, coherent, co-operative. There is    no icterus. No pallor ,cyanosis, c...