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 p...

  CASE 1 50 year man, he presented with the complaints of Frequently walking into objects along with frequent falls since 1.5 years Drooping of eyelids since 1.5 years Involuntary movements of hands since 1.5 years  Talking to self since 1.5 years  More here: https://archanareddy07.blogspot.com/2021/02/50m-with-parkinsonism.html?m=1 Case presentation links:  https://youtu.be/kMrD662wRIQ a). What is the problem representation of this patient and what is the anatomical localization for his current problem based on the clinical findings? Problem representation 50 year man chronic alcoholic and tobbaco chewer with and previously with aggressive behaviour and history of GTCS 10years ago  History of fracture of left leg operated and was diagnosed to be diabetic 2 years ago, Now presented with the complaints of Frequently walking into objects along with frequent falls since, Drooping of eyelids(progressing as the day passes) and ,involuntary movements of hands  ,T...