Dr.Divya chaitanya

  50 yr Male Farmer By Occupation  Came to Casualty With Cheif Complaints of Pain both knees since 6 days HOPI :- Patient Was Apparently Asymptomatic 4 years Back , Then He Developed  Knee joint Pains,bilateral ,which is Insidious In Onset, Gradually Progressive over years,and similar complaints On & off ,went to Rural Community Practitioner And Given Medicine and got relived.  The Patient Had Been Taking pain management Medication whenever he has Joint Pains,Swelling was also present at the knee and Ankle joints during during Pain whenever he gets pain. The patient was able to do his Routine farming Activities for 2 years . Since 2 years the patient stopped  doing  farming works and used to stay at home and was able to take care of his daily activities.  Aggravated during walking and relived with rest and also with medication.  Pain was not completely relieved On taking medication but patient used to feel better. Usually pain is migratory typ...

  General Medicine BIMONTHLY EXAM MARCH 2021 March 21, 2021 General medicine Bimontly exam 2 MARCH 2021March 21, 2021 bimonthly examination - march 1) Please go through the patient data in the links below and answer the following questions: https://ashakiran923.blogspot.com/2021/03/60-years-old-male-fever-under-evaluation.html?m=1 a). What is the problem representation of this patient and what is the anatomical localization for his current problem based on the clinical findings?How specific is his dilated superficial Abdominal vein in making diagnosis? -Based on the clinical symptoms abdominal distension,fever,and burning micturition,diagnosis could be UTI with cirrhosis of liver with portal hypertension.  b) What is the etiology of the current problem and how would you as a member of the treating team arrive at a diagnosis? What is the cause of his hypoalbuminemia?Why is the SAAG low? -The etiology of the disease in this patient could be a chronic history of alcoholism. Chron...

  1)26 year old woman with complaints of altered sensorium somce 1 day,headache since 8 days,fever and vomitings since 4 days More here:  https://harikachindam7. blogspot.com/2020/12/26-year- old-female-with-complaints-of. html a). What is the problem representation of this patient and what is the anatomical localization for her current problem based on the clinical findings? Ans: problem presentation in order of priority at  time of admission: 1)altered sensorium with irrelevant talk since 1 day 2)neck pain with headache since one month which worsened for the past 8 to 15 days 3)vomitings since one week 4)low grade fever since one week 5)generalised weakness with decreased appetite since one month anatomical localisation of current problems Brain-meninges and ?frontal lobe, due to altered sensorium B)What is the etiology of the current problem and how would you as a member of the treating team arrive at a diagnosis?  Please chart out the sequence of events timeline ...