General Medicine Case History

  THIS IS AN 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 CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT  February 9th 2022 A 13 year old female came to OPD with complaints of abdominal pain since 2 days associated with two episodes of vomiting. HISTORY OF PRESENTING ILLNESS - Patient was apparently asymptomatic 2 days ago then developed epigastric pain on radiation, moderate severity and gradually progressive, non radiating 2 episodes of vomiting since 2 days with food as content and non bilious non projectile no relation to feeds PAST HISTORY -  K/C/O of sickle cell anaemia since 2012  History of sickle cell crisis 2016  History of pancreatitis 2019 Last blood transfusion 2020 PERSONAL HISTORY: Diet- mixed   Ap

 1)Define heart failure?Etiology and clinical features of heart failure? How do we diagnose heart failure clinically, physical examination various modalities used in diagnosis of heart failure.Treatment of heart failure  2)Define cirrhosis of liver.Etiopathogenesis of liver cirrhosis add a brief note on clinical features diagnosis and treatment  3) Elaborate on clinical features of renal calculi and diagnostic modalities  4) Etiology and diagnosis of pleural effusion  5) Diagnosis and treatment of dengue fever  6)C/F and diagnosis of peptic ulcer  7) Treatment of acute pyelonephritis  8) Treatment of abdominal tuberculosis  9) Etiology and treatment of pneumonia  10) Complications of dialysis.  11)Ascitic fluid analysis  12)Proton pump inhibitors.  13) After load reducing agents in heart failure  14) Treatment of UTI.  15)DD of fever with rash  16)Insulin therapy in DM  17) Antihypertensive drugs in renal failure  19) Criteria for diagnosing infective endocarditis  20) Hormones secrete