General medicine 1st internal assessment

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A 20 YEAR OLD FEMALE c/o neck pain since 3 days c/o headache since 1 day, c/o vomiting since 1 day.

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A 20 YEAR OLD FEMALE C/o neck pain since 3 days C/o headache since 1 day. C/o vomiting since 1 day. HOPI :  Patient was apparently alright 3 days ago and then she had a B/L pitting type of pedal edema extending till knee, which was relieved on taking medication, later on she developed fever and hyper pigmented macules on the face, fever was high grade. Later she developed pitting type of pedal edema, Dry cough, abdominal distension, decreased appetite, decreased urine output. All her complaints subsided after she was treated. She was normal till 3 days. Then she developed neckpain, non radiating type and headache since 1 day. Past history : Not a k/c/o HTN, DM, ASTHMA,TB EPILEPSY, CAD. K/c/o SLE. She is on medication : 1)TAB.HCQ 200 MG PO/OF 2)TAB.AZATHIOPRIME 50 MG PO/BD 3) TAB.PREDNISOLONE PO/BD Personal history : Diet- Mixed Appetite- Decreased Bowel and Bladder movements- Decreased Family history- Not significant. O/E : patient is c/c/c. No pallor, No...
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General medicine assignment

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  I Pranay kumar, roll no.32 o f 8th semester  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, investigations and diagnosis and come up with a treatment plan. LINK TO QUESTIONS REGARDING CASES : http://medicinedepartment.blogspot.com/2021/05/online-blended-bimonthly-assignment.html?m=1 PULMONOLOGY https://soumyanadella128eloggm.blogspot.com/2021/05/a-55-year-old-female-with-shortness-of.html 1) 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 what is the primary etiology of the patient's problem? Ans :- Evolution of symptomatology      • 1st episode of sob - 20 yrs back      • 2nd episode of sob - 12 yrs back Then onwards, she has been having yearly ...
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SELF ASSESSMENT

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During the unit duty: Case: http://pranaykumar32.blogspot.com/2022/10/a-62-year-old-male-co-4-5-episodes-of.html 1) what is the cause of seizures?  Uncontrolled sugars.  2) Mechanism by which high  sugars cause seizures ?  A threshold glucose concentration is necessary to support synaptic transmission. Elevated extracellular glucose is associated with neuronal hyperexcitability, hyperglycemia exacerbates ischemia-induced brain damage.Hyperglycemia also lowers the threshold of seizure activity. This is the main mechanism by which diabetes induced seizures are most common.  3) Does hypoglycemia cause seizures?  Yes, extremes of sugars either high or low cause seizures.  A diabetic seizure occurs when the sugar levels in the blood are extremely low (below 30 mg/dL). The brain needs glucose to function properly. When there is a drop in blood sugar, the actions of the neurons in the brain decrease and the person experiences a seizure.  4) H...
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