GENERAL MEDICINE ASSESSMENT:3

           BIMONTHLY ASSESSMENT 

I am,p vaishnavi,MBBS 3rd semester, holding roll no :99

QUESTION:1

https://2018-21batchpgy3gmpracticals.blogspot.com/2021/08/18100006003-case-presentations.html?m=1

REVIEW:

Case:1

This is the case of ACUTE GLOMERULOPATHY (glomerulonephritis /nephrotic syndrome), Bilaterally Symmetric Chronic Progessive Inflammatory Peripheral Polyarthritis.

The features of the above Diagnosis include:

• Hypertension

• Haematuria

• Quantification of Proteinuria

• Serum Albumin

• Urine specific gravity

• Pain and Edema of joints

• Early morning Stiffness

• Systemic Inflammation

All the chief complaints of the patient, History and Investigations of the patient are thoroughly explained.

All the suitable Investigations were done which led to this diagnosis. 

The Diagnosis of the patient was very well explained.

The above elog was relevant in respective to the case with all the fine details.

Case 2:

This is the case of :

1. Idiopathic Parkinson's Disease Stage 1 with denovo HTN.

2. Multiple System Atrophy - Parkinsonian Type (MSA-P).

Investigations for the above case were ECG, 2D ECHO and Examination of CNS.

The treatment for the above case was were well explained which includes:

1. Tab. Syndopa Plus 125 mg QID

2. Tab. Syndopa 125 mg CR OD

3. Tab. Telma 40 mg OD

All the chief complaints of the patient, History and Investigations of the patient are thoroughly explained.

All the suitable Investigations were done which led to this diagnosis. 

The Diagnosis of the patient was very well explained.

The above elog was relevant in respective to the case with all the fine details.

Case 3:

The Diagnosis of the above case is:

 IATROGENIC CUSHINGS SYNDROME . 

TINEA CORPORIS .

DENOVO HTN .

Final Diagnosis of the above case was:

IATROGENIC CUSHINGS SYNDROME

SECONDARY TO TOPICAL CLOBETASOL

APPLICATION ALL OVER BODY FOR APPROXIMATELY ONE YEAR.

TINEA CORPORIS

DENOVO HTN .

The treatment includes:

Dose of Tab hizone was reduced to 10 mg per day in divided doses for one month.

In view of low back ache Xray LS spine was done which was normal and pt was advised.:

Tab Shelcal 500 OD and Tab Vit D 3 Od.

Tab ULTRACET /PO/SOS.

Psychiatry opinion was taken and he was diagnosed with moderate depression , which was very well said.

All the chief complaints of the patient, History and Investigations of the patient are thoroughly explained.

All the suitable Investigations were done which led to this diagnosis. 

The Diagnosis of the patient was very well explained.

The above elog was relevant in respective to the case with all the fine details.

QUESTION 2 and 3:

Case 1:

Diagnosis include:

Acute Glomerulopathy (Glomerulonephritis / Nephrotic syndrome)

Bilaterally Symmetric Chronic Progressive Inflammatory Peripheral Polyarthritis

Investigations were:

• X Ray

• AP view of hand and wrist

• PA view of chest X RAY

• Standard 12 lead ECG

• ECG

• 24 hrs Urinary protein

• 24 hrs Urinary Creatinine

• Urine Microscopy

Treatment:

Free water restriction for Hyponatremia

Tab. PREDNISOLONE P/O 20 mg OD

Tab FEBUXOSTAT P/O 80 mg OD

Haemodialysis for worsening renal dysfunction

Case 2:

Diagnosis:

1. Idiopathic Parkinson's Disease Stage 1 with denovo HTN.

2. Multiple System Atrophy - Parkinsonian Type (MSA-P).

Investigations:

• ECG

• 2D ECHO

Treatment:

1. Tab. Syndopa Plus 125 mg QID

2. Tab. Syndopa 125 mg CR OD

3. Tab. Telma 40 mg OD

Case 3: 

Diagnosis:

IATROGENIC CUSHINGS SYNDROME

SECONDARY TO TOPICAL CLOBETASOL

APPLICATION ALL OVER BODY FOR APPROXIMATELY ONE YEAR.

TINEA CORPORIS

DENOVO HTN .

Investigations:

INVESTIGATIONS :

CBP - HB - 13.4 g/dl 

TLC - 6,800

PLT - 1.5 lakhs.

RBS - 139 mg/dl 

CUE - ALBUMIN - +1 

SUGARS - NIL .

PUS CELLS - 3-4 

RBC - NIL .

LFT - TB -1.03

DB-0.21

ALBUMIN - 3.9

RFT - UREA - 22 

SERUM CREATININE -0.6

ELECTROLYTES - NA - 136 

K- 4 

CL-98 

USG ABDOMEN - NORMAL.

ECG - SINUS TACHYCARDIA 

LVH PRESENT.

Treatment:

Dose of Tab hizone was reduced to 10 mg per day in divided doses for one month.

In view of low back ache Xray LS spine was done which was normal and pt was advised.:

Tab Shelcal 500 OD and Tab Vit D 3 Od.

Tab ULTRACET /PO/SOS.

Psychiatry opinion was taken and he was diagnosed with moderate depression .

QUESTION:4

https://99vaishnavi.blogspot.com/2021/07/general-medicine-assessment_10.html

QUESTION:5

Doing all the above cases was so helpful and also looking at all those cases was so informative.

We're very happy that we had a chance to do all these by ourselves.

We're very much grateful for our general medicine department for helping us being so interactive even in these hard times.