G.VAMSI KRISHNA

  A 30 year old shepherd from Gopanatlapuram presented to the OPD with complaints of Dyspnea and pedal edema since 15 days.  An able shepherd who finished schooling till Class 7 and eventually pursued his current occupation with his father, the patient had been having a fairly fulfilling life until last October when he first reported breathlessness while taking the herd atop a molehill. He remembers the event as he felt scaling this molehill was quite easy for him before but this time he felt breathless and had to rest for a while to catch up his breath. Retrospectively he says that he had a feeling of suffocation and felt relieved after a few minutes in the shade.  The patient also reported that such events have been progressive since October and that on quite a few occasions he felt heavy pounding palpitations in the middle of his chest. He says that these palpitations too were exertional and relieved with rest. He also reported that he occasionally  felt very dizz...

  May 23, 2020 Hello everyone... I am an intern in medicine department and one of the important terms of getting the internship completion is to complete my log book with my daily log of what I learn during the course of my duties.  CASE- A 55 year old female came to the opd with the chief complaints of                                                                     1.palpitations (since 2months)                                                                     2.chest pain (since 2 months)                                           ...

  50F presented with SOB and pedal edema. September 16, 2020 50F presented to opd with complaining sob since 1day and pedal edema since 2days. Pt apparently asymptomatic 4yrs back then she developed pedal edema gradual onset intermittent type (on&off) aggrevated on rest, relieved on work, progressed to upper limbs and face subsided without medication. SOB since yesterday sudden onset and progressive in nature.a/w palpitations. No chest pain, headache. No h/o orthopnea,PND. PAST HISTORY:  K/c/o HTN since 2yrs & on metoprolol 50 mg No h/o dm, Asthma, seizures,ckd, TB  H/0 hemirrhoidectomy 4yrs back  H/0 arthritis since 2yrs for which intra articular injection given. PERSONAL HISTORY : farmer by occupation.appetite normal, bowel & bladder movements regular. GENERAL PHYSICAL EXAMINATION:  Moderately built and nourished. Pallor + ;no icterus ,cyanosis ,clubbing ,koilonychia, generalized lymphadenopathy.  Pedal edema B/L pitting type Resolved  by...

I) 45 yr old lady who is a housewife and had DM 2 since 5yrs and HTN since 1yr. She  was apparently normal 6months back,used to develop pedal edema on and off  aggravates on walking and relieves on taking rest for which she was taken to nalgonda hospital and the doctor had advised her to decrease the fluid intake and gave some medications.It was associated with shortness of breath grade 3. 5days back she had developed pedal edema which got progressed and developed abdominal distension,facial puffiness associated with decreased urine output,sob even at rest  and chest pain on right side, non radiating with intermittent palpitations. More here:  https://alekyatummala.blogspot.com/2020/09/45-yr-female-with-anasarca.html?m=1 1) What is your complete anatomic and etiologic diagnosis from the data available in the patient's online record linked above? (ignore the provisional diagnosis on admission mentioned in the case report) ANS :- DIABETIC NEPHROPATHY with NEPHROTIC RAN...