40 .G Akshara kruthi

  This is the link of the questions that are  given for this month  : https://medicinedepartment.blogspot.com/2021/08/medicine-paper-for-aug-2021-bimonthly.html?m=1 This is the link for long and short case : https://2018-21batchpgy3gmpracticals.blogspot.com/2021/08/18100006003-case-presentations.html?m=1  Question :01  Long case :  This is the case of : ➡️Acute Glomerulonephritis, likely due to Secondary Amyloidosis due to Chronic Poorly Treated Seronegative Erosive Rheumatoid Arthritis. ➡️Dilutional Hyponatremia secondary to Anasarca due to Glomerulonephritis ➡️Hyperuricemia likely due to decreased Uric Acid Excretion Precipitating Gouty Arthritis ➡️A nemia of Chronic Disease secondary to Poorly Treated Rheumatoid Arthritis. Treatment given to the patient is :   Free water restriction for Hyponatremia T ab. PREDNISOLONE P/O 20 mg OD  Tab FEBUXOSTAT P/O 80 mg OD  Haemodialysis for worsening renal dysfunction As this is the long case each and every point is taken into consideration and

14 Aug 2021 . G.Akshara kruthi ,3 rd sem  Under the guidance of Deepika mam. Case of 30 yrs old female with abdominal distension and bilateral pedal edema .    30 yrs old women presented to the causality with the case scenario as :  Chief  complaints : *  Abdominal distension since 4 months . * Dyspnea since 4 months  * Bilateral pedal edema since 4 months    History of present illness : Bilateral pedal edema resolved on its own  H/o of nonproductive cough 1 month prior to her son's delivery .   History of past illness:  Not a k/ c/o  HTN ,DM ,thyroid disorder  No H/o CAD ,CVA . Personal history :  Married  Occupation : coolie  Appetite:   normal  Non vegetarian  Bowel s : regular Micturition : normal No known allergies  No addictions Family history :  No such complaints seen in family . No history of Diabetes, Hypertension,TB, Asthma, CAD,CVD Obstetric history : Age at marriage : 18 yrs  Gravida : 04  Para : 04  Still births : 0 No of living children : 04  Post NVD of her son .she

NAME : G.AKSHARA KRUTHI ,3 RD SEM  UNDER THE GUIDENCE OF DEEPIKA MAM  INTRODUCTION : CASE HISTORY AND CLINICAL FINDINGS: 19Y/F CAME TO CASUALTY WTH CHIEF COMPLANTS OF 2-3EPISODES OF VOMITINGS WHICH IS NON PROJECTLE, NON BILIOUS ASSOCIATED WITH FOOD PARTICLES 5 DAYS BACK HIGH GRADE FEVER, INTERMITTENT, RELIEVED ON MEDICATON FEVER SUBSIDED 1 DAY BACK HISTORY OF PRESENT ILLNESS : NO H/O COLD, COUGH, SOB,.HEADACHE,  PAINABDOMEN,LO0SE STOOLS  HEMATURIA,MALENA, RASH NO OTHER COMPLAINS PAST ILLNESS . NO HO DM ,HTN, ASTHMA, EPLEPSY, CAD, TB.  PERSONAL  HISTORY: NO SIGNIFICANT PERSONAL HISTORY FAMILY HISTORY : NO SIGNIFICANT HISTORY    GENERAL  EXAMINATION : VITALS : TEMPERATURE-AFEBRILE PR-96BPM RR-18CPM BP-100/70 MM OF HG SPO2-98 %AT RA GRBS-150MG/DL SYSTEMIC EXAMINATON CVS- S1,S2 HEARD  RESPIRATORY SYSTEM - BAE +                                            NVBS HEARD PER ABDOMEN - SOFT                               NON TENDER CNS - NFND INVESTIGATIONS: ECG- NO SIGNIFICANT CHANGES HEMOG