Internal Assessment 1
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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...
This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current based inputs.
Long case Prashanth Reddy Anugu Hall ticket no: 1701006141 A 65 year old male patient, a resident of Cherlapalli ,confined to home for the last 2 years ( previously was a daily wage laborer ) came to the OPD with chief complaints of [Date of admission :2/06/2022 & Date of examination :4/06/2022] COUGH for 1 month , SHORTNESS OF BREATH for 5 days & FEVER for 5 days HISTORY OF PRESENTING ILLNESS: Patient was apparently asymptomatic 1 yr back . Then he had a cough with sputum for 3 weeks . On consultation with the local physician ,he was found to have Tuberculosis after examination of sputum. He was then started on Anti-Tubercular drugs .Once he started to feel better with the ATT, he stopped taking them after 3 months . But recently a month ago , he developed cough which was gradual in onset and progressive in nature , associated with expectoration [half a cup per day ,dark red in color ,mucoid in consistency ] and without any agg...
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