Munukutla Sai Mythili

MEDICINE  DEPARTMENT BIMONTHLY ASSESSMENT                                           JUNE 2021 Max marks:100[5 x 20marks] Submit by : 31/6/2021 QUESTION 1: Competency tested for peer to peer assessment . Hconsidered for review : Batch :2017 MBBS batch  Roll Numbers: 80 : https://sudhamshireddy.blogspot.com/2021/05/medicine-blended-bimonthly-assignment.html 81 : https://marisatejaswini.blogspot.com/2021/05/neurologya.html 82 :  https://meesumabbas82.blogspot.com/2021/05/case-opinions-may-2021.html 85 :  http://haqansariblogformonthlyassiggnment.blogspot.com/2021/06/questions-1-what-is-evolution-of.html 86 :  https://sofiajabeen1912.blogspot.com/2021/05/pulmonogy-1.html 87 :  https://87tharunkumar.blogspot.com/2021/05/medicine-blended-assignment.html 88 :  https://mridultak.blogspot.com/2021/05/medicine-blended-assignment-may-2021.html 89 :  http://sandhyamudavath89.blogspot.com/2021/05/general-medicine-case-discussion.html 91 :  https://prathyushamulukala666.blogspot.com/2021/05/online-b

45 Y/O FEMALE WITH  PAIN IN ABDOMEN VOMITING HEADACHE This is 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 patients clinical problems with collective current best evidence based inputs. . CHIEF COMPLAINTS Pain in abdomen since 4 days Vomiting since 4 days Headache since 1 day HISTORY OF PRESENTING ILLNESS Patient was apparently asymptomatic 5 days back.  Then around 7:30 pm on wednesday patient alleged to be bitten by a snake ( ? Viper) on right foot and taken to the local hospital. ASV was taken and she was fine for 1 day. A/b complaint of swelling of right lower limb and went to local hospital for which ointment was advised. Swelling subsided. Patient has had abdominal pain for the last 4 days. Squeezing type pain in periumbilical region agg. by

A 26 Y/O MALE WITH VOMITING PEDAL EDEMA SHORTNESS OF BREATH This is 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 patients clinical problems with collective current best evidence based inputs. CHIEF COMPLAINTS Vomiting since 1 month  Pedal edema Shortness of breath on slight exertion HISTORY OF PRESENTING ILLNESS A 26 year man, resident of namavaram and is a student was apparently asymptomatic 1 nd half years back The patient has a history of pedal edema SOB and decreased urine out put and went to a hospital was given dialysis about 6 times in five months Later he has come to KIMS in march 2021 where he continued dialysis Now he presents with a complaint of vomiting since 1 month  He had vomiting 1-2 times a day with no pain in abdomen It usually occ

  A 45 Y/O MALE WITH FEVER ; DYSPNEA ; BURNING MICTURITION ; PAIN IN ABDOMEN  UNDER THE GUIDANCE OF Dr Aashitha who has taken the detailed history This is 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 patients clinical problems with collective current best evidence based inputs. . CHIEF COMPLAINTS Fever since 1 week Dyspnea since 1 week Burning micturition since 1 week  Pain abdomen since 1 week HISTORY OF PRESENTING ILLNESS A 45 year man, was apparently asymptomatic 14 years back.  14 years back during his wife's  pregnancy on routine investigations she was found to be RVD positive. On getting tested, he turned out to be RVD positive as well.  He was started on medications which he takes regularly ( not documented ), he says he takes 2 tablets a