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GM case

 Bi weekly Assesment:- 1)Anatomical diagnosis -? Glomerulosclerosis                                                                        Etiological diagnosis -  ?? Nephrotic syndrome secondary to the diabetic nephropathy or CKD.      2)Reasons for I) Azotemia : impaired renal excretion of urea and creatinine secondary to CKD.  II) Anemia : decreased erythropoietin.  III) Hypoalbunemia: capillary basement membrane and podocytes damage.  IV)  acidosis: acidification of urine is lost.                                       3) Rationale : syp potchlor was given because of the hypokalemia.. Inj. NaHCO3 was given because of metabolic acidosis ..Insulin and antihypertensives are given because known case of DM and HTN. Orofer XT was given because of anemia.. Inj. Lasix was given to decrease her volume overload. Spironolactone was given it was a potassium sparing diuretic.Calcium was given to the patient  because of hypocalcemia secondary to CKD. Indications of NaHCO3:metabolic acidosis in ca
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Dizziness under Evaluation

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Hello everyone.. I am Sai Teja, an intern posted in medicine department and one of the important terms of getting the internship completion is to complete my log book with my online log of what I learn during the course of my duties. 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-centred online learning portfolio and your valuable inputs on the comment box is welcome. Here is a case i have seen A 28yr male patient resident of oligonda came with complaints of  dizziness,lightheadedness,diplopia and vomiting since four days.H/o Trauma one week back due to sudden hit by tailoring machine. Patient was apparently asymptomatic one week back, then he had a history of trauma due to sudden hit by tailoring machine following which he developed pain in lumbar region radiating
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AUTOIMMUNE CASE

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Hello everyone.. I am Sai Teja, an intern posted in medicine department and one of the important terms of getting the internship completion is to complete my log book with my online log of what I learn during the course of my duties. 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-centred online learning portfolio and your valuable inputs on the comment box is welcome. Here is a case i have seen A 40 year old female resident of khammam who is a known hypertensive since 3 months came to opd with c/o bilateral swelling of lower limbs since 6 months, Shortness of breath since 6 months,joint pains since 4 months, and facial puffiness since one week, decreased urine output since 2 days Patient was apparently asymptomatic 2 years back.She had h/o amenorrhea for which she w
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