Medicine E Log

 BI MONTHLY ASSESSMENT : (14/1/21) Max Marks: 100 (10 marks for each first seven questions and 30 marks for the last question) . Link to question paper :  https://medicinedepartment.blogspot.com/2021/01/medicine-paper-for-january-2021.html?m=1 1) 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? Ans) PROBLEM REPRESENTATION :  26 yr old female who got evaluated for joint pains before and diagnosed as SLE with no other comorbities and is on immunosuppresants for SLE , Came with history of head ache since 8 days and fever plus vomitings , generalised weakness since 4 days and altered sensorium since one day. So trigger point is Altered sensorium for which they came to hosp

 50 yr old male working as carpenter resident of oligonda , married 30 yrs ago having 3 children ,elder daughter got married and other younger son and daughter are studying. His wife also works as daily labourer. Since past one year pt is not doing manual labour work and is just supervising contract based carpentry work and is at home most of the times ,as he is feeling weak . So their daily needs are met by her wife and younger son who started working since past year . Pt is a chronic smoker since 20 years - 10 vlbeedis /day Chronic alocholic since 20 yrs - wife doesn't know exactly the amount of alcohol. Since dialysis was started in 2019 around diwali time..pt stopped drinking and smoking. Not a k/c/o HTN,DM,TB,ASTHMA,CAD,CVA. No previous history of allergies/surgeries. H/o NSAID abuse present whenever pt did lot of manual work. In 2019 around diwali time pt noticed bilateral pedal edema extending upto knees and decreased urine output, but patient neglected the symptoms..went