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BIMONTHLY EXAM MARCH 2021

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GM blog General medicine Bimontly exam 2 MARCH 20 March 21, 2021 bimonthly examination - march 1) Please go through the patient data in the links below and answer the following questions: https://ashakiran923.blogspot.com/2021/03/60-years-old-male-fever-under-evaluation.html?m=1 a). What is the problem representation of this patient and what is the anatomical localization for his current problem based on the clinical findings?How specific is his dilated superficial Abdominal vein in making diagnosis? -Based on the clinical symptoms and signs, the clinical diagnosis of the patient can be-  UTI with cirrhosis of liver with portal hypertension.  b) What is the etiology of the current problem and how would you as a member of the treating team arrive at a diagnosis? What is the cause of his hypoalbuminemia?Why is the SAAG low? -The etiology of the disease in this patient could be a chronic history of alcoholism. Chronic smoking leading to his apthous ulcers.  Based on his clinical finding t
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22/F WITH RIGHT HEMIPARESIS

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Unit 3 admission:  Interns: Dr Archana Dr Sreeja Dr Jeeharika Dr Harsha  Dr Kalyan  Dr Raveen PGY1 Dr vaishnavi PGY2 Dr Aravind PGY3 Dr Vamshi PGY3 Dr Hareen SR Dr Praveen Naik - Ass. prof Dr. Rakesh Biswas - HOD  22/F C/o :  inability to lift the right upper limb and lower limb since yesterday night. Deviation of mouth to the left side. HOPI: Patient was apparently asymptomatic yesterday night. her mother noticed she was unable to lift her right hand  and right leg since yesterday night. Deviation of mouth to the left side since yesterday night. History of delayed development of milestones.  Completed nine months of gestation it was a normal delivery, walking was attained at the age of five years, cooing sounds were at the age of 5 - 6 years.she didn’t attend school until 17 years of age .she attended Anganwadi centre  for three years (started at 17years age)and later stopped. History of fall , that is,slippage on the floor two months back.there was a left femur neck frac
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BIMONTHLY ASSESSMENT FOR FEBRUARY

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General Medicine BIMONTHLY ASSESSMENT FOR FEBRUARY. February 20, 2021 February 19, 2021   "This is my submission for the Bimonthly internal assessment for the month of February ." Most of the information here have been collected from different reference sites, links to which have been mentioned.The points copy pasted have been put in quotes. The questions to the cases being discussed are from the link below: https://medicinedepartment.blogspot.com/2021/02/medicine-paper-for-february-2021.html?m=0 1.) 50 year man, he presented with the complaints of Frequently walking into objects along with frequent falls since 1.5 years Drooping of eyelids since 1.5 years Involuntary movements of hands since 1.5 years  Talking to self since 1.5 years  More here: https://archanareddy07.blogspot.com/2021/02/50m-with-parkinsonism.html?m=1 Case presentation  links:  https://youtu.be/kMrD662wRIQ a). What is the problem representation of this patient and what is the anatomical localization for his
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70/M WITH FEVER SINCE 4DAYS AND DRY COUGH SINCE 4DAYS

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Unit 3 admission: Interns- Jeeharika Archana Harsha Kalyan Sreeja Dr.Raveen PG1 Dr.vaishnavi PG2 Dr.Vamshi PG3 Dr.Aravind PG3 Dr.Hareen SR Dr.Praveen Naik Ass.Prof 70year old male presently staying at home,r/o pochampally,was apparently alright 8days ago,then patient son met with an accident (sustained multiple fractures). patient is in grief about it and used to visit his son 3days ago,patient had an episode of syncope lasting for 2-3mins .Later he woke up and did his daily routine activity(like cooking ).Patient lives with his wife who is also not well.since next day ,patient was in altered state ,having irrelevant talk ,associated with involuntary passage of urine.H/O pricking movements present. Patient is able to walk on his own till yesterday.No H/O seizures ,ENT bleed ,head trauma ,No h/o weakness . Since morning patient is unable to walk on his own ,associated with stiffness of limbs (b/l UL and LL).patient is in altered state.Not oriented to time,place and person. C/o fever sin
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63/M WITH FEVER SINCE YESTERDAY AFTERNOON,DECREASED URINE OUTPUT SINCE 1DAY AND SHORTNESS OF BREATH SINCE 1DAY

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Unit 3- Interns- Jeeharika Archana Harsha Kalyan Sreeja Dr.Raveen PG1 Dr.Aashitha PG2 Dr.Vamshi PG3 Dr.Aravind PG3 Dr.Hareen SR Dr.Praveen Naik Ass.Prof 63 year old male with complaints of fever since yesterday afternoon,decreased urine output since 1day,shortness of breath since 1day. Patient was apparently asymptomatic since yesterday afternoon and developed fever which was insidious in onset, intermittent type,no diurnal variation .Decreased urine output since 1day.Shortness of breath since 1day, grade 2 progressed to grade 4 (seen on presentation). History of weakness of both upperlimbs 6 years back. Unable to get up from bed 6 years back and had a similar episode 2days back and was told to have low potassium (not on any regular medication). No h/o vomitings,loose stools,burning micturation Not a k/c/o HTN,DM,EPILEPSY,CAD,ASTHMA TB Vitals: Temp:99.6F BP:100/60MMHG HR:91BPM RR:20CPM GRBS:140MG/DL SPO2:94% WITH 1LITRE OF O2 Systemic examination:  CVS: s1,s2 heard, no murmurs  RS: BAE
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