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BIMONTHLY ASSESSMENT ( MAY)

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 https://soumyanadella128eloggm.blogspot.com/2021/05/a-55-year-old-female-with-shortness-of.html Questions: 1) What is the evolution of the symptomatology in this patient in terms of an event timeline and where is the anatomical localization for the problem and what is the primary etiology of the patient's problem?  A)  Symptomatology & event time line: SOB Grade-II on & off since 20 Years (exacerbations once in a year) ! Increased frequency & severity of exacerbations since 12 Years ! T2DM since 8 Years ! Anemia 5 yrs back treated with iron sucrose ! Generalized weakness & SOB Grade-II since 30 days ! HTN since 20 days ! Pedal edema & Facial puffiness since 15 days ! SOB Grade-IV & decreased urine output since 2 days Anatomical localization:  Lungs - COPD - SOB Grade- II COPD - PAH - RHF - Pedal edema & SOB Grade -IV  Primary etiology: COPD (Biomass exposure) 2) What are mechanism of action, indication and efficacy over placebo of each of the pharmacolo

BIMONTHLY INTERNAL ASSESSMENT ( MARCH)

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 Question 1 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? -Based on the clinical symptoms and signs, the clinical diagnosis of the patient can be-  UTI with cirrhosis of liver with portal hypertension.  b) What is the etiology of the current problem and how would you as a member of the treating team arrive at a diagnosis? What is the cause of his hypoalbuminemia?Why is the SAAG low? -The etiology of the disease in this patient could be a chronic history of alcoholism. Chronic smoking leading to his apthous ulcers.  Based on his clinical finding there could be portal hypertension which could have been preceeded by cirrhosis of liver which might have been caused due to chronic alcoholism.  Cirrhosis of liver leads to red

BIMONTHLY ASSESSMENT ( February)

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 Questions: 1)50 year man, he presented with the complaints of 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  https://archanareddy07.blogspot.com/2021/02/50m-with-parkinsonism.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? A)chronic smoker and  tobacco chewer H/o left lower limb fracture 2 years back Started 15 years ago, initially chewed 1 or 2 packs/day & gradually increased to 3-4/day and even 5-7 on a few days. Abruptly stopped consuming both alcohol & khaini after the RTA in June, 2018. Son has offered khaini several times after, but the patient was very reluctant eversince. Now presenting complaints are frequently walking into objects along with frequent falls since, Drooping of eyelids(progressing as the day passes) an

BIMONTHLY INTERNAL EXAM( JANUARY)

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  26 year old woman with complaints of altered sensorium somce 1 day,headache since 8 days,fever and vomitings since 4 days More here:  https://harikachindam7. blogspot.com/2020/12/26-year- old-female-with-complaints-of. html a). What is the problem representation of this patient and what is the anatomical localization for her current problem based on the clinical findings A) 26 year old female who is a mother of two children, a tailor and agricultural labourer got married 10 yrs back -  Headache since 8 days- in bitemporal vertex region has been aggrevated since 1 week . After stopping using steroids she has -Fever since 4 days- low grade not associated with chills and rigors. - Vomitings since 1 week (multiple episodes). She has generalised weakness,decreased apetite and unable to walk for which admitted in nalgonda. -Neck pain since 4 days At the time of presentation she has altered sensorium with irrelevant speech since 3 am in the morning K/c/of SLE since 3 years (Hydrochloroquine