MEDICINE ASSIGNMENT By Prashanth Reddy Anugu( Roll no 107)
1) Pulmonology 1) What is the evolution of the symptomatology in this patient in terms of an event timeline and where is the anatomical localization for the problem and what is the primary etiology of the patient's problem? Primary etiology could be repeat e d exposure to Actinomyces ( MICROPOLYSPORA FAENI ) leading to fibrosis blood vessels get compressed in the alveoli Increased Pulmonary vasculature resistance With due course of time right heart failure and the symptoms of right heart failure like pedal edema might have developed SOB has developed because of decreased compliance of lungs as a result of fibrosis 5.What could be the causes for her electrolyte imbalance? Heart failure can be a cause of electrolyte imbalance heart failure can cause decreased cardiac output though a right heart failure : it can decrease venous return to the left ventricle impairing the cardiac output patient can also develop metabolic acidosis as is evident in this patient el