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BIWEEKLY INTERNAL ASSESSMENT EXAM

1)Anatomical diagnosis -? Glomerulosclerosis                                                                        Etiological diagnosis -  ?? Nephrotic syndrome secondary to the diabetic nephropathy or CKD.      2)Reasons for I) Azotemia : impaired renal excretion of urea and creatinine secondary to CKD.  II) Anemia : decreased erythropoietin.  III) Hypoalbunemia: capillary basement membrane and podocytes damage.  IV)  acidosis: acidification of urine is lost.                                       3) Rationale : syp potchlor was given because of the hypokalemia.. Inj. NaHCO3 was given because of metabolic acidosis ..Insulin and antihypertensives are given because known case of DM and HTN. Orofer XT was given because of anemia.. Inj. Lasix was given to decrease her volume overload. Spironolactone was given it was a potassium sparing diuretic.Calcium was given to the patient  because of hypocalcemia secondary to CKD. Indications of NaHCO3:metabolic acidosis in cardiac arrest, Tricyclic
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Adarshini 's E log

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This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent.  Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs.  This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box is welcome. CASE DISCUSSION:       A 40 yr old male patient came to the hospital with the chief complaints of pain in the right hypochondrium since 5 days.  HISTORY OF PRESENT ILLNESS:     patient was apparently asymptomatic 10 days back  .when he had an alcohol binge of 300-500 ml of whisky he complained of diffuse burning sensation in the abdomen, relieved on treatment in private hospital locally followed by :           *right upper quadrant pain since 5 days, which is throbbing
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adarshini e log

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This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent.  Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs.  This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box is welcome. CASE DISCUSSION: A 50yr old male Patient from charuvugattu was brought by his attenders(daughter and his brother) to  the hospital  with complaints of loss of speech since 5 days, right upper limb weakness since 2 days and deviation of mouth to left side since 2 days.    HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 5 days back and then developed loss of speech which was sudden in onset and progre
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