77SrilekhaMallannagari

11/6/22 1701006103 General medicine long case I have been given this case to solve in an attempt to un derstand the topic of patient clinical data analysis to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations, and come up with diagnosis and treatment plan   Chief complaints: Shortness of breath Since two days  Bilateral pedal edema since two days  Decreased urine output since  two days  History of presenting illness:   Patient was apparently asymptotic six years back and then developed bilateral pedal edema for which she visited hospital and diagnosed with hypertension and renal failure And was on conservative management  Since two days patient is having shortness of breath grade 4 (MMRC grading) not associated with chest pain sweating Bilateral pedal edema since two days pitting type and  Decreased urinary output since two days no burning micturition ,there is increased hesitancy and frequency . Past history:   Known

11/6/22   General medicine final practical short case Name:M.Srilekha   I have been given this case to solve in an attempt to un derstand the topic of patient clinical data analysis to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations, and come up with diagnosis and treatment plan Chief complaints: History of presenting illness: No H/O chest pain palpitations shortness of breath  No H/O of pedal edema  NoH/O decreased urinary output No H/O seizures  No H/O headache blurring of vision  Past history: Diagnosed with hypertension during fist pregnancy  first pregnancy: intrauterine death at 6th month  She had hyperemesis during first pregnancy in the first trimester  Second pregnancy: baby delivered at 8 th month  normal vaginal delivery and died with in one day  Not a known case of diabetes Mellitus, TB, asthma, thyroid disorders , epilepsy No past surgical history No blood transfusions done  Menstrual history: Age of men

 7/6/22 General medicine final practical short case Name:M.Srilekha   I have been given this case to solve in an attempt to un derstand the topic of patient clinical data analysis to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations, and come up with diagnosis and treatment plan Chief complaints: Abdominal distension since one year  Facial puffiness since one year Itching all over the body since one year and developed Multiple plaques on abdomen and lower limb. Shortness of breath since 5 days Pedal edema since 5 days History of presenting illness:  Patient was apparently asymptotic one year back then  she developed abdominal distension, facial puffiness,  Itching all over the body. Five days back developed sob of grade 3 And pedal edema which was pitting type. Past history: She developed bilateral knee pain three years back onset insidious,gradually progressing pricking type  Of pain aggravated on walking and relieved

6-6-2022 Medicine final exam long case M.Srilekha  I have been given this case to solve in an attempt to un derstand the topic of patient clinical data analysis to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations, and come up with diagnosis and treatment plan. Chief complaints: Abdominal pain since 5 days  Facial puffiness and pedal edema since 2 days Shortness of breath since two days History of presenting illness: The patient was apparently asymptomatic 3 months back then she developed facial puffiness and bilateral pedal edema which was pitting type. Abdominal pain since 5 days which was sudden in onset and of burning type and there are no aggravating and relieving factors. Later she developed shortness of breath Which was insidious in onset and gradually progressed to grade 4(shortness of breath at rest ) no change on position change and no aggravating and relieving factors. No history of fever, sore throat ,joint