Ch.Sowmya Rani

Ch.Sowmya Rani  Roll no: 154 36semester The following blog is an assignment that was given to us - for evaluation of our skills over the last month  Max Marks: 100 (5 questions in total and 20 marks for each  answer)  Link for the Question  https://medicinedepartment.blogspot.com/2021/10/oct-2021-formative-bimonthly-blended.html?m=1 Q 1: Testing peer review competency in the active reader of this assignment) : Please go through the case reports in the links shared above and provide your critical appraisal of the captured data in terms of completeness, correctness and ability to provide useful leads to analyze the diagnostic and therapeutic uncertainties around the cases shared. Please review the E logged case report links around our current cases by some of our students in the links given  Gastroenterology 1. https://vamsikrishnarollno16.blogspot.com/2021/10/a-case-of-64yrs-old-male-patient-with.html?m=1 COMPLETENESS:  •The case presented is correct with accurate data  CORRECTNESS  : •

Chinthakuntla.Sowmya  Rani Roll no:154 3rd semester  A 60 years old male patient ,who is not working since 10 years came to casuality with the Chief complaints of 1.Shortness of breath -grade 4 2. Pedal edema - 2 months History of presenting illness Patient was apparently asymptomatic ,  2 years back then he had c/o small ulcer over left leg & went to hospital & on regular medications for ulcer  Diagnosed CRF & on regular medications  2 months back Patient c/o pedal edema went to local hospital Diagnosed with grade- 2 ,3 pitting  Bilateral CRF since then he is having SOB  from 15 days  Orthopnea present  No PND  No Chest pain No palpitations  C/O decreased urine output  No c/o of burning micturition  Discontinued medications last 15 days History of past illness  No h/o HTN,DM,epilepsy ,TB, Asthma PERSONAL HISTORY  Apetite - lost Diet- mixed Sleep- Adequate  Bowel- Regular  Micturition- Abnormal  Addictions- Alcohol drinking daily 90-180ml /day since 40 years Smoking - 18-20