November online assessment

 Question 1:

https://sreejaboga.blogspot.com/2020/11/is-online-e-log-book-to-discuss-our.html?m=1

Epigastric pain anatomicaldanatomical 

Inferior wall MI

Pancreatitis 

Duodenal ulcer

Cholecystitis

Causes of acute pancreatitis

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2665136

Pathophysiology of pancreatitis




2.sob: ARDS due to pancreatitis

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2864834/

ARDS secondary to sepsis

Acidosis in renal failure

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6362877/

AKI management in pancreatitis



Pleural effusion in pancreatitis.




Question 2:

https://aakansharaj.blogspot.com/2020/11/55-year-old-male-with-anemia.html?m=1l

Bones 

Patient has anemia,renal failure,lytic bony lesions,and pnemonia.

Anemia is hypoproliferative picture

Total protiens high 12.4and albumin 1.84( high gamma gap)

MGUS premalignant condition with no organ failure

Smoldering myeloma



Anatomical locations of problems and etiologies:

Bone marrow

Lytic bony lesions of skull


Anemia

Renal failure with metabolic acidosis

Lungs multilobar consolidations.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4973001/

Pharmacological and nonpharmocological interventions:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6375429/pl

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3910142/

Role of bortezumab in multiple myeloma

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1936263/

Role of steriods in multiple myeloma

https://pubmed.ncbi.nlm.nih.gov/30073393/



Question 3:

http://nithishaavula.blogspot.com/2020/11/51-yr-old-male-with-hfref.html?m=1

Risk factors for atherosclerosis and heart failure

Macro and microvascular dysfuntion

Apokine mediated endothelial dysfunction


https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2705866/

https://www.researchgate.net/publication/5251683_The_role_of_inflammatory_cytokines_in_endothelial_dysfunction

2.heart failure with reduced ejection fraction

Lv failure is due to chronic pressure overload state  hypertension

3.heart failure,diabetes and hypertension are risk factors for AF



4.due to AF dislodging thrombus may cause stroke

5.seizures in this patient is due to stroke.



Pharmacological and non pharmocolgical interventions in management of patient:

Persistent AF

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5059277/

Ablation therapy

https://www.webmd.com/heart-disease/atrial-fibrillation/catheter-ablation-afib-atrial-fibrillation

Pacemaker placement

Heart failure treatment



Question 4:

1.heart failure




Wet beri beri due to chronic alcoholism caused by thiamine deficiency.



2.peripheral neuropathy is also due to thiamine deficiency

Causes of peripheral neuropathy



3.high output cardiac failure leading to pedal edema,raised jvp and congested hepatomegaly.


Pharmocolgical and non pharmocolgical interventions:

Thiamine deficiency treated

Salt and fluid restriction

Thiamine in wet beri beri

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5851725/

Chronic heart failure treatment

https://www.uscjournal.com/articles/treatment-chronic-heart-failure-0

Peripheral neurpothay treatment.

https://www.webmd.com/brain/understanding-peripheral-neuropathy-treatment


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