Medical blog by 76. Spandana Patil

   A 48 yr Male     ,came to opd with Acute History of Poisoning near godavarigudem , nalgonda History of present illness: The patient was apparently asymptomatic 12 days ago ( i.e on 23 /11/21 ) Then he consumed excess amount of alcohol ( alcohol intoxication) while he was on duty on his field as a farmer . In altered stage he consumed  profenofos  ( 100-150ml ) - An Insecticide. He had 3-4 episodes of    vomitings on 23/11/21.  He was rushed to    Nearby hospital    immediately on 23/11/21    @11 am by his wife . He was given gastric lavage. Pralidoxime and Atropine were administered . He was then shifted to navya hospital    on 23/11/21 where he went into respiratory failure . He was ET intubated on 24/11/21 @4 pm . Pralidoxime, atropine and symptomatic treatment was given . Due to financial concerns he was shifted to our hospital on 25/11/21 insedated stage on mechanical ventilator . Patient was int...

   A 50 yrs Male     ,came to opd with Acute History of Poisoning ( Monocrotophos - insecticide )     History of present illness: The patient was apparently asymptomatic 9 days ago ( i.e on 18/11/21 ) then he consumed the poison , while he was drinking alcohol at night.  He consumed 250 ml And immediately    spitted it out . He was immediately rushed to the nearby hospital in unresponsive condition . CPR was intiated    and continued for 15 mins .  Patient was intubated and kept Under mechanical ventilator    for 4 days    .  He was given gastric lavage there and inotropic supplements . K+ supplements..  Patient was concerned about poor prognosis and due to financial issues he was shifted to our hospital on 22/11/21 . On the day of admission Patient vitals were checked and ET tube was changed    on 23/11/21 tracheostomy was done .  Central line treatment is done .  Past history:...

   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 ...