Exam

  Pulmonology A) Link to patient details: https://soumyanadella128eloggm.blogspot.com/2021/05/a-55-year-old-female-with-shortness-of.html Questions : 1) What is the evolution of the symptomatology in this patient in terms of an event timeline and where is the anatomical localization for the problem and what is the primary etiology of the patient's problem? Evolution of symptomatology and Event timeline- 20 Years ago - SOB Grade1 for a week , occurred every year for the same duration 18 Years ago- Polyuria and was diagnosed with DM 12 Years ago - SOB Grade 1 for a month 1 Month ago - Weakness was given iv fluids 30 Days ago - SOB ( latest episode) gradually progressive 20 Days ago - HRCT showed Bronchiectasis 15 Days ago - Pedal edema and facial puffiness 2 Days ago - SOB Grade 4 , drowsiness and decreased urine output.  Anatomical location of the problem is BRONCHIOLES,RIGHT heart failure(Cor pulmonale) Primary etiology is rice dust exposure as patient is a farmer working in paddy