67 YRS OLD MALE WITH SOB AND FEVER-CKD

-

Prefinal Examination March 2022
Roll no- 126 
Sneha Chauhan 
9th semester 















Raised JVP link 

https://youtube.com/shorts/ddSotgsPJNo?feature=share


Apical impulse 

https://youtube.com/shorts/BcBN83zrmhE?feature=share



GENERAL PHYSICAL EXAMINATION- 

Vitals- 
Heart rate- 86bpm
Respiratory rate- 30cpm 
Temperature- 102 F
Blood pressure- 130/70 mmHg 

Mild pallor present 

No signs of Cyanosis, clubbing, edema, lymphadenopathy 



Systemic Examination-

Cardiovascular examination- 
JVP raised, Apical impulse seen on 5th left intercostal space 
S1S2 heard, Apex beat is felt at 5th intercostal space 1.5cm  lateral to mid clavicular line 


Diagnosis- CKD on MHD 

 

Popular posts from this blog

34 YRS OLD MALE WITH SOB, COUGH AND EXPECTORATION

-
Image
Unit posting (Intern 2017) Medical Ward  GM II  Dr Nikitha Dr Hari Priya Dr Govardini  Dr Sneha This is an online E-log 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 patients clinical problems with collective current best evidence based inputs.  This E-log also reflects my patient centered online learning portfolio and your valuable inputs on comment box are welcome.  I’ve been given this case to solve in an attempt to understand the topic of “patient clinical data analysis” to develop my competence in reading and comprehending clinical data including history, clinical findings and come up with diagnosis and treatment plan.  The patient and the attenders have been adequately informed about the documentation and privacy of the patient. No ide...
Read more

MEDICINE MONTHLY ASSESSMENT (MAY 2021)

-
Image
SNEHA CHAUHAN   ROLL NO. 126 8th SEMESTER 2017 BATCH MBBS Medicine Bimonthly Assessment (May 2021) I have been given the following cases to solve in an attempt to understand the topic of “Patient Clinical Data Analysis” to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and diagnosis and to come up with treatment plan.  This is the link of the questions asked regarding the case:  http://medicinedepartment.blogspot.com Below are my answers to the Medicine Assignment based on my understanding of the cases Question no 1) Pulmonology Link to patient’s details: 55 yr old female with shortness of breath, pedal edema, and facial puffiness. https://soumyanadella128eloggm.blogspot.com/2021/05/a-55-year-old-female-with-shortness-of.html What is the evolution of the symptomatology in this patient in terms of an event timeline and where is the anatomical localization for the problem and what’s the...
Read more

45 YEAR OLD FEMALE WITH VIRAL PNEUMONIA SECONDARY TO COVID INFECTION

-
Image
SNEHA CHAUHAN  ROLL NO 126 MBBS 8th SEMESTER  This is an online E-log to discuss our patient’s de-identified health data shared after taking hi/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 patients clinical problems with collective current best evidence based inputs.  This E-log also reflects my patient centered online learning portfolio and your valuable inputs on comment box are welcome.  I’ve been given this case to solve in an attempt to understand the topic of “patient clinical data analysis” to develop my competence in reading and comprehending clinical data including history, clinical findings and come up with diagnosis and treatment plan.  Following is the view of my case- CASE: A 45 year old female came to the OPD with chief complaints of  FEVER- since 1 week  DRY COUGH - since 1 week  LOSS OF A...
Read more