Medicine case discussion

Internship assessment  June 10 , 2023 Name - M.Tharun kumar  Posted from 12/4/2023 to 12/6/2023  First 15 days in psychiatry Next 1 month in Unit-4 Under Dr.Pavan kumar sir and Dr.Prachethan sir  Last 15 in the peripherals(ICU,AMC and Ward) Current online learning portfolio  During psychiatry posting:  -Learnt how to take detailed history and helped in counselling the patients.  -Witnessed different psychiatric illness like  Depression  Psychosis  Alcohol dependence syndrome  Schizophrenia Post traumatic stress disorder  Attention deficit Hyperactive disorder  During Medicine posting: 1.90 year male with Altered sensorium  http://87tharunkumar.blogspot.com/2023/04/90yr-male-with-altered-sensorium.html Learning impact -  -What are causes of altered sensorium  -How can we diagnose meningitis based on CSF report ? It is lymphocytic predominant So can we consider this as TB meningitis and start ATT 2. 60Yr Male with pedal edema and tingling sensation of lower limbs http://87tharunkumar.blo

This is online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed 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 book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome.  I've been given this case 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 come up with a diagnosis and treatment plan.   CONSENT AND DE-IDENTIFICATION :  The patient and the attenders have been adequately informed about this documentation and privacy of the patient is being entirely conserved. No identifiers shal

AKI on CKD stage v urosepsis (resolving)B/L consolidation of lungs (pneumonia) altered sensorium secondary to?septic enchephalopathy ? uremic enchephalopathy. Type 2 respiratory failure septic shock with grade 2 bed sore C/C Patient was bought to the casualty on 30/5/2023 in altered sensorium since 1day HOPI Patient was apparently asymptomatic 3days back then he had anuria and was taken to the hospital for the same and is diagnosed to have Aki with urosepsis with severe anemia with scrotal cellulitis AKI  with uremic encephalopathy s/p 1unit prbc transfusion Decreased urine output with fever of high grade intermittent, nausea+, vomiting+ and pedal edema+ N/h/o sob,chest pain, palpitations  Patient was treated conservatively and is referred to hospital in view of requirement of hemodialysis Past illness N/k/c/o DM HTN ASTHMA CAD ,TB or EPILEPSY H/o ??CKD 5 years back Personal history  Farmer by occupation stopped since 2 years  Appetite -lost Non veg Bowels -regular  Micturition-decreas