Pranaya Gaddamedhi

  This is an online e-log book to discuss our patient's de-identified health data shared after taking his/her/guardian's 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.         A 70 year old female patient labourer by occupation came with chief complaints of decreased  urine output since 1 month  , burning micturition since 1 month, urgency of micturition since 1 month , mass per abdomen since 20 days  History of Present Illness : Patient was apparently asymptomatic 1 month back then she noticed decreased urine output , burning micturition , urgency and hesitency of micturition for which she visited local hospital where investigations are done . She denies history of fever , loin pain and hematuria . Past History: She was hysterectomised 18 years back for fibroid uterus .

Prefinal Examination :  1. Define heart failure , etiology, and clinical features of heart failure ? How do we diagnose heart failure clinically physical examination and various modalities used in daignosis of heart failure  . Write a brief note of tretament of heart failure  Ans :  2. Define cirrhosis of liver . Etiopathogenesis of cirrhosis. Write a brief note on clinical features,diagnosis and treatment of cirrhosis of liver .  3. Elaborate on clinical features and diagnostic modalities in diagnosis of Renal calculi  4. Etiology of pleural effusion . Diagnostic criteria of pleural effusion  5. Diagnosis and treatment of dengue fever  6. Clinical features and diagnosis peptic ulcer disease . 8.  Treatment of Abdominal tuberculosis  9. Etiology and treatment of Pneumonia  10. Complications of dialysis  11. Asicitic fluid analysis  13 . Afterload reducing agents in heart failure  14. Treatment of Urinary tract infection  15. Differential diagnosis of Fever with Rash  16. Insulin therap

 This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. A 65 year old male patient , daily wage worker by occupation came to opd with chief complaints of  swelling in his legs 1 week back and shortness of breath since 3 days. History of Present Illness : Patient was apparently asymptomatic 4 months back then he developed fever for which he went to RMP doctor and took medication for that .  As fever didnt subsided then he went to Nalgonda for same reason where he was told that he was having some kidney problem.  As patient was not willing to admit he was under medication for that .  1 week back he had developed bilateral pedal edema and 3 days back he was having shortness of