TOPIC: PREDICTORS OF OUTCOMES IN PATIENTS WITH PULMONARY ARTERIAL HYPERTENSION AND HEART FAILURE ADMITTED TO A RURAL TERTIARY CARE HOSPITAL PROBLEM STATEMENT: HEART FAILURE is one of the leading cause of death at present all over the world. Inspite of the recent advances and extensive research being done in medical field we are unable to find the exact etiology and predictors of mortality and morbidity in many of the patients with HEART FAILURE and the current mode of treatment is only symptomatic. In a rural setup with limited resources: How far we can eliminate the diagnostic and therapeutic uncertainties that persist in a patient with heart failure and what best we can do to improve their outcomes. INTRODUCTION: Inspite of having advancement in field which helps in diagnosing pulmonary hypertension, it remains the disease that takes lot of time for diagnosis from the presence of first symptom, many patients are diagnosed only in advanced stage of disease. 1 Normal pressure in pulmon
Section : 1 Please go through the patient data in the links below and answer the following questions: 1) Pulmonology (10 Marks) 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? 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
1) A 55 year old man with Recurrent Focal Seizures Detailed patient case report here: http://ushaindurthi. blogspot.com/2020/11/55-year- old-male-with-complaints-of. html 1. What is the problem representation of this patient and what could be the anatomical site of lesion ? A 55 year old male construction worker with T2DM who is a chronic alcoholic & smoker came with c/o weakness of right upper limb with involuntary movements of both right UL & LL secondary to ? right temporal lobe epileptogenic focus. 2. Why are subcortical internal capsular infarcts more common that cortical infarcts? subcortical infarcts are caused by occlusion of a penetrating artery from a large cerebral artery, most commonly from the Circle of Willis. These penetrating arteries arise at sharp angles from major vessels and are thus, anatomically prone to constriction and occlusion. So subcortical infarcts are more common than cortical infarcts. https://www.ncbi.nlm.nih.gov/books/NBK534206/#:~:text=Lacuna
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