Chandana vishwanatham

This is an online e log book to discuss our patient de-identified 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 problem with collective current best evident based input  A 35 yr old female came to casualty with complaints of pedal edema since 6 days, which is insidious in onset and gradually progressive, worsening since 3 days. - c/o abdominal distension since 6 days - h/o decreased urine output since 2 days - h/o vomiting s 4-5 episodes since 1 day HOPI :pt was apparently asymptotic 1 week back, then he developed pedal edema ,which is bilateral ,pitting type it is worsening since 3 days H/o burning micturition H/o vomitings ,4-5 episodes which are non bilious,non projectile No H/o loose stools H/o fever in the last month, and that was diagnosed to be Dengue possitive and was treate...

This is an online e log book to discuss our patient de-identified 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 problem with collective current best evident based input. 66yrs elderly male resident of jagatpally toddy climber by occupation presented to opd with c/o abdominal distension since 1 1/2 month Nausea, decreased appetite since 1 1/2month  Decreased urine output since 10days Constipation since 2days Pt was apparently asymptomatic 2months back he noticed abdominal distension after intake of food , associated with nausea, pain abdomen at epigastric region  So he reduced his daily intake of food Patient attenders noticed that he is reducing body weight. He is complaining of decreased urine output since 10days . Not passing stools since 2days,passing flatus. C/o B/L swelling...

 1/11/2021 THEORY TOPIC:  VENOUS AND ARTERIAL THROMBOSIS Cerebral venous thrombosis  Polycystic ovarian syndrome  Context :http://sairajgovind099.blogspot.com/2021/10/38-year-old-female-with-seizures-and.html Presenter Dr Chandana   Dr Sai Govind  ATTENDED BY:  DR.V.Chandana(PGY-2) Dr.Raveen DR.USHA (PGY-3) DR.Zain(PG Y3) Dr .A.vaishnavi(PG Y 3) Dr.AAshitha(PG Y 3) 2/11/2021 SEMINAR TOPIC INTERMITTENT FEVER WITH SEIZURES PUO  CONTEXT https://moulika99.blogspot.com/2021/11/blog-post.html?m=1  PRESENTED By Dr.NIKITHA PG  Y 3 ATTENDED BY Dr.V.CHANDANA PG Y 2 DR.ZAIN PG Y 3 Dr.AJITh PG Y3 DR.SUSHMITHA PG Y3 DR.RASHMITHA PG Y 3 DR .NIKITHA PG Y 3 ********************* 3/11/2021 JOURNAL CLUB Obstructive sleep apnoea non CPAP therapeutic options : https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5803051/ Presenter Dr Chandana  Context : https://alekhya09.blogspot.com/2021/11/osa.html?m=1 ATTENDED BY DR.V.CHANDANA PG Y 2 DR.USHA PG Y 3 DR....

 This is an online e log book to discuss our patient de-identified 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 problem with collective current best evident based input.  This E-LOG was done under the guidance of Dr. Madhumitha  CHIEF COMPLAINT:  CHIEF COMPLAINT:   A 31 year old male, a photographer by occupation  came to the opd with chief complaints of  • Abdominal pain and distension since 3 days  • Pedal edema extending upto knees since 3 days  • Fever  ,low grade since 4 days HISTORY OF PRESENT ILLNESS:  Patient was apparently asymptomatic 1 year back then he had pain in abdomen,in the right upper quadrant, nit associated with vomitings.  Patient complains of Loss of appetite, anorexia,  . weight loss ,malaise , f...

 BIMONTHLY EXAM AUGUST 1) 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. *evolution of symptomatology is well described in the illness . * Proper past ,personal ,family ,surgical ,medical and immunization histories are provided. * Differential diagnosis for the conditions he's been in are given .  *classification criteria for rheumatoid arthritis is provided which gives us idea in which category patient is in based on points . *The possible scenarios that can be are described in brief . *Diagnostic approach is mentioned. *After final diagnosis , further plan of treatment is given clearly. SHORT CASE :  A 49 year old English and Telugu language lecturer presented with a 2 month history of progressive asymmetric involuntary movements of his right index and middle fingers. *Present...

 CASE - 1 .https://aniganikavya06.blogspot.com/ What is the reason for giving thiamine in this patient?  I agree that thiamine should be given to the patient, as he is a chronic alcoholic, there is deficiency of thiamine due to reduced absorption at the level of intestine, as thiamine has many functions regarding the metabolism, lack of it creates imbalance and some neurological disturbances. So, in order to prevent this thiamine should be given to the patient CASE - 2 https://blendedasessmentmadhukumar.blogspot.com/  Why haven't we done pericardiocentesis in this patient?     I agree to the answer given, as there is less pericardial effusion and it is resolving on its own. In this case pericardiocentesis cannot be done, as it requires a large quantity of pericardial effusion. As there no cardiac tampanode in this patient which is an another reason we are not considering pericardiocentesis.  CASE - 3 .https://amitsharma1996.blogspot.com/ What is the pr...

          Pulmonology A) Link to patient details: 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? Evolution of symptomatology and Event timeline- 20 Years ago - SOB Grade1 for a week , occurred every year for the same duration 18 Years ago- Polyuria and was diagnosed with DM 12 Years ago - SOB Grade 1 for a month 1 Month ago - Weakness was given iv fluids 30 Days ago - SOB ( latest episode) gradually progressive 20 Days ago - HRCT showed Bronchiectasis 15 Days ago - Pedal edema and facial puffiness 2 Days ago - SOB Grade 4 , drowsiness and decreased urine output.  Anatomical location of the problem is BRONCHIOLES,RIGHT heart failure(Cor pulmonale) Primary etiology is rice dust exposure as pat...