M.Laxmi Sri

II - INTERNAL ASSESSMENT 1) Anatomical and etiologic localization for hemiparesis and further management         1x9=9 2) Etiology pathogenesis clinical features management complications of acute pancreatitis. 1x9=9 3)Dengue Fever clinical features and complications. 4)Cushing syndrome. 5)Mandibular advancement device.   Not attempted.   6)Cardiogenic pulmonary edema.     7)Rheumatoid arthritis 8)Leptospirosis.       9)Heart failure.         10)Ascites. 11) Pyrexia of unknown origin. 12)Drug induced liver injury. 13)Evaluation of low back ache. 14)Renal artery stenosis. 15)Acute kidney injury. 16)Oral hypoglycemic agent. 17)Micro vascular and macro vascular complications of diabetes. 18)Lights Criteria Not attempted 19)Metabolic acidosis 20)Iron deficiency anemia

  This is an online e-log book to discuss our patient's de-identified health data shared after taking his/her/guardian's 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 best evidence based inputs Date of admission:8/11/2021 CHIEFCOMPLAINT: A  15 yr old male ,studying 9 th class came to the casuality with chest pain,discomfort in breathing while lying down since 3 days HISTORY OF PRESENT ILLNESS: Pt was apparently asymptomatic 2 months back then he complains of vomitings 2 - 3 episodes daily associated with food particles not associated with blood ,for around 1 month  H/O fever 2 months back associated with chills relieved with medication by 2 days  Incidentally patient found to have urea 62 mg/dlCreatinine 8.3 went to Hyderabad. Within 1 day urea has raised to 135mg/dl and creatinine 10.7  And start

  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 best evidence based inputs. CHIEF COMPLAINT: A 45 yr old male patient welder by occupation came to the opd with complaints of shortness of breath,edema of legs,facial puffiness and body pains since 6 months . HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 2 yrs back when he developed SOB (grade  4)and bilateral pedal edema and visited a local doctor.The symptoms were relieved on medication. After few days he developed similar episode and went to the hospital in khammam and was referred to nims hospital. Patient was diagnosed of nephrotic syndrome in nims hospital by biopsy. He had a similar episode of sob and