Multiple joint pains and SLE

-

 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 patient's clinical problems with collective current best evidence based inputs. 




30 yr old female came to the casually with chief complaints of

Worsening of shortness of breath from 2days 

FEVER, continuous, not resolving on medications (pyrexia of unknown origin). 

-MALAR RASH on dorsum of nose and cheeks


Hopi:

Patient was apparently asymptomatic 6 years back and then developed generalised body aches 

Then multiple joints were involved, mainly being knee and elbow 

There was also associated hairloss 

She visited multiple hospitals,and the previous diagnosis was diagnosed with autoimmune disorder 

Association of pedal edema 

Then 2 months back observed episodes of shortness of breath 

2days back the symptoms worsened 





 General examination:

Vitals: 

Temperature:37.8

RR:20bom

Bp: 110/80 

Pallor present 

Icterus abs 

Cyanosis absent 

Lymphadenopathy absent 

Flat nails

Non scaring aloppecia ,hyperpigmentation dicoid rashes in face 



Black discolouration of oral mucosa 



Systemic examination:

Abdominal examination:

Soft and non tender,mildly distended, inverted umbilicus 

CNS : no focal neurological deficits 

CVS:

S2heard,ni murmurs heard 

Labs:

Normocytic normochromic anemia with leukocytosis 



Diagnosis:

Acute cardiogenic pulmonary edema 

And positive SLE








Comments

Post a Comment

Popular posts from this blog

MY VOYAGE IN MEDICINE DEPARTMENT

-
Image
Hello and welcome! This is Navyatha Pothula currently doing my internship.  A s the curtain falls on this chapter of my life, I reflect with gratitude and sentiment on the profound journey through the corridors of the medicine department. In this blog, I express my appreciation for the lessons learned, the connections forged, and the growth experienced during my time in this transformative field. Before I embark on the next phase of my career,  I want to express my sincere gratitude to the faculty, mentors, colleagues, and patients who have been integral to my medical journey. Their guidance, support, and shared experiences have been invaluable pillars, shaping not only my professional identity but also my personal growth.   Journey: My first interaction in medicine department was in my 5th semester where in I was brought together with my pgs and seniors and many of my classmates in a lecture hall where we discussed cases posted in our department with wide r ange of topics and persp
Read more

Evidence of workflow done during internship rotation!

-
Image
Hello everyone This is Navyatha! This is a compailation of work blogs and PAJR created during my medicine rotation! Life in medicine department is a delicate balance—between patient care and paperwork, professional responsibilities and personal well-being. The lesson lies in mastering this equilibrium, knowing when to push forward and when to pause, ensuring sustained excellence in both professional and personal realms. Case 1: https://navyathapothularollno110.blogspot.com/2023/10/this-is-online-e-log-book-to-discuss.html Chief complaints : Patient came with chief complaints of fever since 10 days HOPI Patient was apparently asymptomatic 10 days back and developed fever which is intermittent  high grade relieved on medication  Associated with chills and rigor  Loss of appetite Not a/s w cold cough  Not a/s chest pain ,palpitations,shortness of breath  Past history: H/o surgery: umbilical hernia : hernioplasty 30 yrs ago  Not a k/c/o Dm Htn tb asthma  Personal history: Appetite:decrea
Read more

General Medicine Internship Real Patient OSCEs

-
Image
Introduction:   This  online  E-log Entry Blog  is an  objectively structured clinical examination method to assess the clinical competence during the course of my General Medicine Internship rotation (October '2023-November 2023) by reviewing the case reports shared below and  to discuss, understand and review the clinical scenarios and data analysis of patients so as to develop my clinical competency in comprehending clinical cases, and providing evidence-based inputs for questions surrounding the clinical vignettes borrowed from the E Log Book. Note:  The cases have been shared after taking consent from the patient/guardian. All  names and other identifiers have been removed to secure and respect the privacy of the patient and the family. This is 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
Read more