General medicine elog book

This is an online E log book to discuss our patient’s de-identified data shared after taking his/her/guardian’s signed informed consent.” FINAL EXAMINATION LONG CASE: A 50 year old lady ,resident of Nalgonda, who is a home maker came to the OPD with chief complaints of pain and stiffness in several joints since 1 year. History of present illness: She was apparently asymptomatic 10 years ago, then she developed a dulling aching type of pain and stiffness in her finger joints(Metacarpo-phalangeal joints-MCP) of right hand with limitations of movements at the joints. Then within 6 months of onset,the disease progressed to involve other joints of the right hand and left hand as well( both wrist joint and elbow joint)  Within 4 years of onset ,she started feeling pain in the joints of the feet and ankle joint.  Since 3 months the pain became unbearable limiting  her activities The pain was insidious in onset, slowly progressive, dull aching type of pain, non radiating, associated with swell

“This is an online E log book to discuss our patient’s de-identified data shared after taking his/her/guardian’s signed informed consent.” FINAL EXAM SHORT CASE : A 56 yr old male patient resident of Aganmothkur,who is a farmer ,came to the hospital with chief complaints of shortness of breath since 1 day.    Patient was apparently asymptomatic 3 months back.Then he developed bilateral pedal edema of grade-4 pitting type and shortness of breath grade-3 for which he was hospitalised and was diagnosed to have Chronic kidney disease .Since then he had 11 sessions of hemodialysis .The last one was done as he had shortness of breath of grade-3 and bilateral pedal odema grade -3 pitting type . Past history:He went to hospital as he had fever and was diagnosed to have Hypertension 5 months back . Underwent surgery for intestinal perforation 2 yrs ago. GENERAL EXAMINATION: The patient is conscious, coherent, coperative .Moderately built and nourished. Pallor present Icterus present.  Bilateral