Medicine casestudy

G sai tejaswini  Roll no :61 I have been given this case 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, come up with a diagnosis treatment plan.  The entire real patient clincal data in this linkhttps://madhur116.blogspot.com/2020/05/on-1452020.html?m=1  COMPLAINTS: *  fever -1month back *shortness of breath- since 2weeks *pedal edema-since 2 weeks FEVER: 1month back which was high grade associated with chills  Probable causes may be - 1. Viral infections 2. Meningitis(no features suggestive) 3. Typhoid(no features suggestive). 4. Malaria.  Treatment given anti malarials by local rmp. SHORTNESS OF BREATH:since 2weeks  Initialy it was NYHA grade 3 but after treatment it became NYHA grade 2, History of paroxysmal nocturnal dyspnea Probable causes  may be :  Cardiac causes  Pulmonary causes ( no history of

G sai  tejaswini Roll no 61 Ihave been given this case to solve in an attempt to understand the topic of parient clinical data analysis to develop my competency in reading and comprehending clinical data including history,  investigation  And come up with a diagnosis and treatment plan Entire real patient clinical data is here: https://vaish7.blogspot.com/2020/05/medicine.html?m=1 COMPLAINTS : Bilateral lower limb weakness and sudden fall. Vomiting Gluteal, scrotal abscess(operated). ANALYSIS: Bilateral lower limb weakness since 5days associates with tingling , numbness. There was history of sudden fall. Causes may be Trauma:ruled out no history  given Vitamin deficiency-no features suggestive. Sudden fall , numbness,tingling sensation may occur due stroke (tuberculosis) Peripheral Neuropathy can be ruled out by nerve conduction studies. Spondylodiscitis due infections (mainly TB ) Can be ruled out by mri ,  biopsy , pcr . It may occur due to  tumors(mening

G sai tejaswini Roll no -61 Ihave been given this case 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, inveatigations  and come up with diagnosis, treatment plan.  Entire real patient  clinical problem in this link herehttps://srianugna.blogspot.com/2020/05/hello-everyone.html A 18 years old male patient with bilateral lower limb weakness since 20 days   the weak ness was started 2 years  back in proximal region  and gradualy progressive to distal region.  bilateral  non pitting type of edema in lower limbs. H/o difficulty of squating position and getting from tha postion. On examination there is areflexia.  Weakness cause may be nuero genic , myogenic, traumatic cause . No h/o trauma so it is ruled out.  Neurogenic may be UMN LESION, LMN LESION. But the features are some related to lmn. LOWER MOTOR LESION: Anterior horn cells Nerve ro

G sai tejaswini  Roll no 61 Ihave be given this case to solve ina an attempt and to understand the topic of paitient clinical data analysis to develop my competency in reading and comprehending clinical data including history, clinical findings , investigations and come up with diagnosis and treatment plan. Entire real patient clinical problem  inthis link herehttps://hitesh116.blogspot.com/2020/05/elog-13th-may-2020.html?m=1 A18 year old male patient came with complaints of  difficulty in walking , bilateral lowerlimb weakness, pain in calf muscles since 1month. Analysis of the case: By above mentioned data inthe link. The features may be of lower motor lesions. LOWER MOTOR LESIONS:at the level of -anterior horn cells -nerve roots -peripheral nerves -neuromuscular junction -muscle ANTERIOR HORN CELLS :may be effected by polio,   spinal muscular atrophy( mainly along with areflexia and weakness, hypotonia, may involve respiratory muscles genetic disorder which can be

G sai tejaswini Roll no 61  I have been given this case to solve in attempt  and 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 come up with  treatment plan. Entire real patient clinical problems in this link herehttps://classworkdecjan.blogspot.com/2019/05/42-f-with-severe-regular-edema-with_17.html?m=1 Following is my analysis of the patient problem. Problems are Swelling of face and abdomen  Sleep disturbances Oliguria Rashes Headaches(migraine with aura) Fatigue Swelling of face and abdomen: she was diagnosed as G6PD deficiency  which cauese hemolytic anemia ie hemolysis of rbc  may cause right heart failure which may be the cause of shortness of breath and swelling .  Swelling of face may be caused due renal failure (oxidative stress due G6PD deficiency). This deficiency causes decreased generation ofNADPH and ATP which causes