M.Laxmi Sowmya 71

 NAME : M.LAXMI SOWMYA ROLL NO : 71 3RD SEMESTER QUESTION 1 : I had gone through my friends assessment where they mentioned about the different cases and provisional diagnosis,laboratory investigations and treatment. Some of them also added pictures related to the disease and mechanism how it occur  clearly. They really worked hard and depicted about many cases. They even admired the whole members of general medicine for helping them which is appreciable. QUESTION 2 : I have not done any elog of  the patient .  QUESTION 3,4 : PATIENTS WITH LOW BACKACHE AND RENAL FAILURE : AKI  http://laharikantoju.blogspot.com/2021/07/58-year-old-male-patient-elog-lahari.html?m=1 she has mentioned clearly about history of present and past illness. She has presented case details with laboratory investigations, provisional diagnosis and treatment. A 58 year old male patient  chief complaints are : - lower abdominal pain: 1 week  -burning micturation:1week - low back ache after lifting weights -dribbling

 NAME : M.LAXMI SOWMYA ROLL NO : 71 3rd Semester QUESTION 1  CASE 1 : PULMONOLOGY A 55 year old female with chief complaints of shortness of breath, pedal edema and facial puffiness https://soumyanadella128eloggm.blogspot.com/2021/05/a-55-year-old-female-with-shortness-of.html History of presenting illness ;  Patient had episodes of shortness of breath for the past 20 years,12 years ago she had another episode of SOB which lasted for 20 days and she had hospitalized and SOB decreased upon treatment at the hospital. 5 years ago she was treated for anemia with iron injection.She was diagnosed with hypertension 20 days ago,pedal edema since 15 days upto the level ankle and pitting type and facial puffiness since 15 days. PROVISIONAL DIAGNOSIS : ACUTE EXACERBATION OF COPD ASSOCIATED WITH RIGHT HEART FAILURE AND BRONCHIECTASIS    IN SEVERE COPD---OXYGEN CONCENTRATION IN THE BLOOD FALLS---PULMONARY HYPERTENSION---HIGH BLOOD PRESSURE IN THE PULMONARY ARTERIES PUTS EXCESS STRAIN ON THE RIGHT V