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Biomonthly assessment for the month of march

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SUBMISSION OF BIOMONTHLY ASSESSMENT TEST FOR THE MONTH OF 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? Ans: Chronic kidney disease Anatomical localization is kidney dysfunction  About his superficial abdominal veins :  For a long term alcoholic, he could be a risk factor to develop portal hypertension, which may be present with superficial abdominal veins and varices  ➡️Triad of portal hypertension : Bacterial peritonitis Hepatic enceohalopathy Cirrhotic Hepatopulmonary syndrome Portopulmonary hypertension Other differentials include: ➡️Caput medusae due to portal hypertension ➡️Dilated veins in IVC ➡️Congenital ➡️Obs
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70 yrs M with CAD wirh HFrEF with( EF 35%) LAD with AF with FVR with LBBB

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This is an online E log book to discuss our patients deidentified health data shared after taking his/her/guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs. This E log book also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. Here is a case I have seen: Unit 6: Case admitted on 27/2/2021. Interns  Swarna Juveria K.Divya Nikhil reddy  B.Manivarma Dr. Manasa(pgy1) Dr. A. Vaishnavi (pgy2)  Dr.  Sai Radha(pgy3) Dr. Arjun (asst. Prof)  Dr.Praveen Naik( asst.prof) Dr.Rakesh Biswas (HOD) 70 yrs farmer who stopped since 1 year due to low  chest pain and shortness of breath came with chief complaint of palpitations since 1 year shortness of breath since 3  and chest pain since 3 months aggravated since 15 days History of p
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42/ M WITH HFPEF WITH ALCOHOLIC DEOENDANCE SYNDROME WITH CHRONIC LIVER DISEASE.

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This is an online E log book to discuss our patients deidentified health data shared after taking his/her/guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs. This E log book also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. Here is a case I have seen: Unit 6: Case admitted on 27/2/2021. Interns  Swarna Juveria K.Divya Nikhil reddy  B.Manivarma Dr. Manasa(pgy1) Dr. A. Vaishnavi (pgy2)  Dr.  Sai Radha(pgy3) Dr. Arjun (SR) Dr.Praveen Naik( asst.prof) Dr.Rakesh Biswas (HOD)  42 years  male patient came with chief complaint of pedal edema since 3 weeks (Grade 3) and scrotal swelling since 3 weeks SOB since 2 weeks Upper limb edema +, pitting type  No facial puffiness.  JVP  raising + No C/O Fever ,Cold, cough History
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Bimonthly assessment for the month of February

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Bimonthly assessment for the month of feb 2021 Submission of bimonthly assessment for the month of feb 2021 Q.1) Please go through the patient data in the links below and answer the following questions: 50 year man, he presented with the c/o 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-https://archanareddy07.blogspot.com/2021/02/50m-with-parkinsonism.html?m=1 Case presentation links: https://youtu.be/kMrD662wRIQ Problem presentation- 1.Involuntary movements of both upper limbs  2.Drooping of eyelids 3.Talking to self  4.Frequent falls (while walking on steps)  All the above from 1.5 years.  Localisation of lesion- ➡Drooping of eyelids  is called as ptosis and our patient has Bilateral ptosis B/l ptosis - is because of weakness in  levator palpebrae   superioris  muscle and  muller  muscle which is because of ------ 1)Muscle involvement 
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