G.VAMSI KRISHNA

  CNS:  No focal neurological deficits present Investigations Treatment: INJ . LASIX 40mg / IV/TID SALT RESTRICTION<2g/ day FLUID RESTRICTION <1L/day TAB MET-XL 2mg/PO/OD INJ THIAMINE 200 mg in 100 ml NS IV/ TID BP/PR/RR/ SpO2 charting 2hrly at  September 16, 2022 Share

1) Describe the lesions with possible differentials? 2) Identify the spotter & most common etiology of this condition? 3) Identify the spotter & mention some of the causes? 4) Describe the chest xray findings? 5) Spot diagnosis & mention the physiology behind it? 6) Name the condition? 7) Describe the lesions with possible differentials? 8) Describe the ECG findings? 9) Describe the lesions with possible differentials? 10) Name the instrument & it's uses?

1)Describe the lesions with possible differentials? Purpuric rash over legs , feet , palms & arm ?Henoch schonlein purpura 2) Identify the spotter & most common etiology of this condition? Barrel shaped chest COPD Etiology : smoking 3) Identify the spotter? Deviation of mouth to right side with prominent nasolabial fold on right side Left UMN facial palsy 4) Describe the chest xray findings? Cardiomegaly Obliteration of right CP angle : Right sided pleural effusion Left sided pneumonia Widened rib spaces : ?Emphysema 5) Identify the condition from which this patient is suffering & mention the physiology behind it? Ascitis  Increased hydrostatic pressure & decreased oncotic pressure Umbilical hernia : A sign of chronic ascitis 6) Identify the condition from which this patient is suffering & mention some of the possible etiologies? Pedal edema Etiology: Heart failure Cirrhosis of liver  Renal failure Hypoalbuminemia 7) Describe the lesions with possible diffe...

 A case of 31/F with SLE https://docs.google.com/presentation/d/1_LeBcR42xMU__BPFvxzhrknW3wFVlb4y/edit?usp=drivesdk&ouid=109331939192934520503&rtpof=true&sd=true

 80 year old female presented with  Increase in Shortness of breath since 3 days  Bilateral pedal edema since 3 days Generalized weakness since 20 days  History of fall 20 days back  Patient was apparently asymptomatic 20 days back then she suffered trauma due to slipping in the bathroom, she fell in sitting position and complained of left hip pain.  She could walk normally for 4 days but later complained of too much pain and was confined to bed.  She developed of Shortness Of Breath which was insidious in onset. She developed SOB after walking a certain distance since 1 week but on 21/3/22 she had Shortness of breath at rest and was taken to a local hospital where she was put on O2. She improved and was advised to come here.  H/o COVID 19 infection in April 2021, her symptoms were cold, Shortness of breath and generalized weakness, for which she isolated at home and used medication for 1 week. All her symptoms improved but the weakness took 3 mon...