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A CASE OF 45 yr old male with CKD on MHD (Second degree Diabetic nephropathy)

Soumyadeep Biswas  Roll no. 127 This is an online e-log book to discuss our patient's de-identified health data shared after taking his/her/guardian's 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 patient's clinical problems with collective current best evidence based inputs. CASE : A 45 yr old male presented with fever , burning micturition , pedal edema CHIEF COMPLAINTS:  fever  Burning micturition  Facial puffiness  Pedal edema progresses to anasarca 5 sessions of Hemodialysis were done  HISTORY OF PRESENTING ILLNESS:  The patient has been readmitted to our hospital first dialysis was done on 5/09/21 No h/o pedal edema , oliguria and SOB (from past 7 days) HISTORY OF PAST ILLNESS:  He is a known case of Diabetes mellitus (DM2) on medication ie. Actrapid  Hypertension , on medication tab NICARDIA 20mg x PO x BD tab ...

BIMONTHLY ASSIGNMENT OF MEDICINE FOR AUGUST 2021

Soumyadeep Biswas Roll no. 127  BELOW IS THE LINK TO THE QUESTIONS ASKED TO US:- http://medicinedepartment.blogspot.com/2021/08/medicine-paper-for-aug-2021-bimonthly.html QUESTION 1:- Below is the link of the student for which I am giving my peer review. https://2018-21batchpgy3gmpracticals.blogspot.com/2021/08/18100006003-case-presentations.html?m=1 LONG CASE  :- A 44 year old man presented with a 3-day history of bilaterally symmetrical rapidly progressive generalized edema. REVIEW:- *The Case is well presented and  p atient data has be deidentified and privacy is marked. *C ase history is taken beautifully precisely taken including social ,educational and surgical  history which is way too essential to understand the socio economic back ground of the patient and helpful in accurate diagnosis. FINAL DIAGNOSIS : - *Acute Glomerulonephritis, likely due to Secondary Amyloidosis due to Chronic Poorly Treated Seronegative Erosive Rheumatoid Arthritis. *Di...

50 yrs male presented with severe pain over neck and back.

This is an online e-log book to discuss our patient's de-identified health data shared after taking his/her/guardian's 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 patient's clinical problems with collective current best evidence based inputs. The patient got in touch with our college for help and I tried to interview him and collect the data that would be useful to our Medicine department Team to help understand his requirements. CASE:  A 50 yrs male presented with severe pain over neck and back. CHIEF COMPLAINTS Severe pain in back and neck Reduced neck mobility  HISTORY OF PRESENTING ILLNESS Increased frequency of urination Increase urine outflow  Burning micturition  On 1st January , 2019 patient underwent surgery for BLADDER OUTLET OBSTRUCTION due to large median lobe of the prostate trabeculating the bladder wall Surgery: Bilateral Trans...