2020-2022 TITLE : Factors influencing clinical decision making around therapeutic interventions for critically ill renal failure patients in a rural medical college NEED FOR STUDY : Renal failure is increasingly recognized as a global public health problem. The clinical decision to continue conservative medical management vs dialysis in a patient with acute on chronic renal failure (particularly in low resource settings), is dependent on factors that have not be characterized well in the global literature although there are absolute and relative indications for dialysis, there are many clinical grey areas around them. Aim: To study various events related to and influencing treatment decisions around patients with critically ill renal failure Objectives : 1) Document the events and symptoms leading to the patient presenting with renal failure 2) Study the associations between the events and certain symptoms influencing the therapeutic decision taken 3) Doc...
Sep 1 8-9 am : seen case of 14 /M with pancytopenia with autoimmune thyroditis https://raveen07.blogspot.com/2022/08/14m-massive-splenomegaly-case-of.html 9- 10 am : Clinical meet on RAMSUN HUNT SYNDROME 10-11 am : Helped Nishitha ( junior ) in managing nephro cases as it was her 1 st day in nephrology 11 -12 : Meet at counsilling room 2 -4 pm : attended class Tutorial on CT abdomen 2D echo ,Aortic sclerotic valve Sep 2 : Duty day 8 to 9 - seen the old case of 14/M 9 to 1 - OPD 2 - 4 - Internal assessment exam Night duty ( 3 admissions) 1. 35F fever and joint pains https://ailanibyogita.blogspot.com/2022/09/a-35-years-old-female-with-co-fever.html 2. 59M feve, vomitings and loose stools http://chennaharsha.blogspot.com/2022/09/59-yr-old-male.html 3. 75M with fever and altrered sensorium https://ailanibyogita.blogspot.com/2022/09/a-75-years-old-male-with-altered.html Sep -3 : 8 to 9 am : Follow up of cases of y...
LONG CASE : 34 year old male patient resident of Nalgonda came to the hospital with CHIEF COMPLAINTS: Involuntary movements of upper limbs since 4 years Stiffness of all 4 limbs since 4 years Slowness of movements since 4 years Involuntary movements of lower limbs since 3 years HISTORY OF PRESENTING ILLNESS: Patient was apparently asymptomatic 4 years back then he developed involuntary movements which developed in right upper limb since 4 years and after 6 months of initiation of right side developed to Left upper limb which was gradual in onset, occurs at rest since 3 years developed in lower limbs also which were subsided by voluntary movements and also subsides during sleep as told by family members. Involuntary movements not decreased with levodopa medication. He has history of difficulty in initiation of movements , to start there is clumsiness of movements and now difficulty to perform his day to day activities like mixing of foo...
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