SICKLE CELL1(1)
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A 28-year-old male patient was admitted to the hospital with severe pain in his limbs and joints for the past four days, along with fever and bone pain. He has a history of sickle cell anemia. Laboratory tests showed microcytic hypochromic anemia. He was diagnosed with sickle cell anemia and prescribed IV fluids, antibiotics, analgesics, hydroxyurea, and supplements. Lifestyle modifications including folic acid, hydration, temperature control, and moderate exercise were also recommended.
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Heart failureBoushra Alsaoor
油
Heart failure is a complex clinical syndrome that results from structural or functional impairment of the heart's ability to pump blood effectively. It can develop when the heart fails to pump enough blood to meet the body's needs. Mortality from heart failure is high, with 50% of patients dying within 5 years of diagnosis. Common risk factors include hypertension, diabetes, and atherosclerotic disease. Management involves controlling risk factors and using medications like ACE inhibitors, beta blockers, diuretics, and aldosterone antagonists depending on the stage of heart failure.Ischemic Heart Disease
Ischemic Heart DiseaseDr. Abhimanyu Prashar
油
This document provides information on ischemic heart disease (IHD), also known as coronary artery disease (CAD). It defines IHD as a condition caused by atherosclerosis of the coronary arteries, leading to inadequate blood flow to the heart muscle. Risk factors include dyslipidemia, family history, smoking, hypertension, diabetes, age, and obesity. The management of IHD involves identifying risk factors, lifestyle modifications, medical treatments like nitrates, beta-blockers, and calcium channel blockers, and possible revascularization procedures.PARKINSON CASE FINAL
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油
The document presents a case study of a 77-year-old male patient diagnosed with Parkinson's disease based on symptoms of slow movements, resting tremors, postural instability, and mask-like face. Laboratory tests and investigations revealed abnormalities. The patient was diagnosed with Parkinson's disease and mood disturbance. He was prescribed various medications including Syndopa Plus, Rosalect, and Loraazep and counseled on lifestyle modifications and managing his condition and medications.case presentation on cervical spondylosis by naveen
case presentation on cervical spondylosis by naveennaveen ramavatu
油
A 70-year-old female was admitted with complaints of giddiness, neck pain, headache, and leg pain. Diagnostic tests showed cervical spondylosis and hypertension. She was treated for 5 days with medications including pantoprazole, clopidogrel, rosuvastatin, betahistine, lorazepam, and lactulose. Her symptoms improved and she was discharged on a regimen including pantoprazole, clopidogrel, rosuvastatin, and betahistine to monitor for recurrence of symptoms.Case presentation on pemphigus vulgaris
Case presentation on pemphigus vulgarisRumana Hameed
油
This document presents a case presentation on Pemphigus Vulgaris. The patient is an 85 year old female who presented with fluid filled lesions all over her body. On examination, multiple fluid filled blisters were seen over the limbs and trunk along with oral lesions. A skin biopsy showed features of Pemphigus Vulgaris. The patient was started on medications including antibiotics, corticosteroids, antacids and topical steroids. She was counselled about her disease, medications, lifestyle modifications and potential drug interactions.Anti tuberculosis drug - induced hepatitis A Case Study
Anti tuberculosis drug - induced hepatitis A Case Studyvelspharmd
油
This case report describes a 32-year-old male patient who developed hepatotoxicity after being administered first-line anti-tuberculosis drugs to treat pulmonary tuberculosis. The patient also had a history of heavy alcohol use. Laboratory tests showed elevated liver enzymes and abdominal ultrasound revealed grade IV fatty liver infiltration. The patient was diagnosed with anti-TB drug-induced hepatitis exacerbated by alcohol-induced liver damage. His condition improved after discontinuing the anti-TB medications and alcohol, receiving supportive care, and standard treatment. The case report discusses the risk of hepatotoxicity from anti-TB drugs and importance of considering patient risk factors like alcohol use.Aspiration Pneumonia General Medicine Rotation 12 15 09
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油
Aspiration pneumonia occurs when gastric or oropharyngeal contents are inhaled into the lungs. It requires both compromise of lung defenses and a large bacterial inoculum. Risk factors include reduced consciousness, neurological impairment, and GI disorders. Diagnosis is based on new infiltrates on chest x-ray along with signs of infection. Treatment involves oxygen, empiric antibiotics targeting likely pathogens, and treating predisposing conditions. Monitoring includes following vitals, labs, imaging and oxygenation to ensure response to therapy. The patient case involved an elderly man with post-op ileus who developed aspiration pneumonia responding well to broad-spectrum IV antibiotics.DEEP VEIN THROMBOSIS
DEEP VEIN THROMBOSISDr.Hashim Syed Ali (Dr.Foster)
油
Deep vein thrombosis (DVT) occurs when a blood clot forms in one of the deep veins of the body, usually in the leg. It can be caused by factors that increase venous stasis, endothelial injury, or hypercoagulability. Common symptoms include leg swelling and pain. Diagnosis is usually made using ultrasound imaging of the veins. Treatment involves blood thinners to prevent further clotting and the risk of pulmonary embolism. Long term prevention focuses on compression stockings and avoiding prolonged sitting or immobility.Similar to SICKLE CELL1(1) (20)
Hypoxic Ischemic Encephalopathy
Hypoxic Ischemic EncephalopathyWalaa Fahad
油
This is A case presentation of hypoxic ischemic encephalopathy, feel free to use it and sorry for any English mistakes. ANEMIA HEMOLITICA-INDIA.ppt
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油
1. A 19-year-old man presented with symptoms of anemia including pallor, weakness and giddiness. Laboratory tests revealed severe normochromic normocytic anemia.
2. Further investigation showed evidence of hemolysis including reticulocytosis, elevated bilirubin and LDH, and low haptoglobin. The direct antiglobulin test was positive, indicating autoimmune hemolytic anemia.
3. The patient was initially treated with steroids which improved his symptoms and lab values. However, upon tapering steroids, his anemia relapsed. Additional testing found CD20+ B cells in his bone marrow. Rituximab treatment eliminated the B cells and inducedSeizures with right hemiparesis
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油
Seizures油which affect initially only one hemisphere of the brain. Symptoms include:
Contractions on just one side of the body
unusual head or eye movements
Numbness, tingling, or a feeling that something is crawling on the skin
Abdominal pain
Rapid heart rate or pulse
Sweating
Nausea
Dr ayman elshahawy case
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油
A 33-year-old male lawyer presented with swelling of the lower limbs and generalized fatigue for 3 months. He has a history of systemic lupus erythematosus with lupus nephritis since 2003. His condition progressed to require 7 sessions of hemodialysis previously but was readmitted with severe diarrhea. A renal biopsy showed lupus nephritis class IV with active lesions. In the hospital, he received treatment including antibiotics and hemodialysis sessions while being evaluated for pancytopenia and hypoalbuminemia complications of his lupus nephritis.grand round
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This case discusses an 18-year-old female patient presenting with easy fatigability and other symptoms over several months. After examination and investigations, she was diagnosed with systemic lupus erythematosus affecting multiple organs including the lungs, skin, kidneys, and central nervous system. She was started on treatment including steroids, antibiotics, and other medications. The case highlights the approach to diagnosing and managing SLE, a chronic autoimmune disease with diverse clinical manifestations and organ involvement.Frequent Relapsing Nephrotic Syndrome
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This document presents a case study of an 11-year-old patient with frequent relapsing nephrotic syndrome. The patient was admitted with fever, cough, facial swelling and leg swelling. Examinations revealed edema, low albumin and electrolyte imbalances. The patient was treated with IV fluids, antibiotics, diuretics and steroids. Over 5 days the symptoms reduced and the patient was discharged on medications with advice on diet, immunizations and lifestyle modifications to manage the chronic condition.Sickle cell anemia
Sickle cell anemiashamsheerpt
油
1. The study examined gene frequencies and disease characteristics of sickle cell disease among tribal and Chetti communities in Wayanad district, Kerala, India.
2. Gene frequencies for the sickle cell trait ranged from 1.9-19.6% across communities, with the highest in Wayanadan Chettis. Many homozygotes were observed with the oldest being 48 years old.
3. The disease was mild in 52.2% of cases, with painful crises in 43.5% and splenomegaly and leg ulcers each in 4.3%. Survival of patients appears higher in Kerala than other states.A PRESENTATION ON DECOMPENSATED LIVER DX.pptx
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油
IgA nephropathy is a condition characterized by deposition of IgA immunoglobulins in glomeruli. This condition is fairly common in Western countries. The scope of the disease is wide and case by case. Cases of IgA nephropathy are rare. Our case report is of a young man who developed rapid onset IgA nephropathy leading to end stage renal disease ESRD . This case report describes a 26 years age young man who presented and eventually presented with microscopic hematuria and severe proteinuria. Hemodialysis for his burned out IgA nephropathy. Dr. Thenmozhi. P | Yuvaraj. B "IgA Nephropathy (Burger's Disease): Case Report" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-7 | Issue-1 , February 2023, URL: https://www.ijtsrd.com/papers/ijtsrd52706.pdf Paper URL: https://www.ijtsrd.com/medicine/other/52706/iga-nephropathy-burgers-disease-case-report/dr-thenmozhi-p
AKI with Hypernatraemia.pptx
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This document summarizes a clinical case presented by Dr. Aklima involving a 9-month-old male patient admitted with respiratory distress, cessation of urination, diarrhea and vomiting. On examination, the patient was found to be dehydrated with low blood pressure and oxygen levels. Laboratory tests showed signs of anemia, thrombocytopenia, electrolyte imbalances, and metabolic acidosis. The patient was diagnosed with acute watery diarrhea with severe dehydration, hypovolemic shock, acute kidney injury, hypernatremia, metabolic acidosis, and sepsis. Management involved fluid resuscitation, antibiotics, bicarbonate and calcium supplements. Follow up included monitoring vitals and watching for rashDr islam case
Dr islam caseFarragBahbah
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This document describes the case of a 35-year-old male kidney transplant recipient who presented with swelling of the lower limbs and shortness of breath for the past 3 months. He has a history of renal transplantation for unknown causes 2 years ago and is on immunosuppressive medications. On examination, he had generalized edema, decreased breath sounds, and elevated kidney function tests. Tests found a high CMV viral load. He was admitted for further management and treatment of CMV infection with pneumonitis and electrolyte imbalances.Case Presentation Dr. Hosam Fouda Supervised by Dr. Tarek Tantawy
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This document presents the case of a 48-year-old male patient with a history of membranous nephropathy who presented with shortness of breath and swelling of the face and lower limbs. Various tests were performed which showed nephrotic syndrome. The patient was previously treated with steroids and cyclosporine, achieving remission. The document discusses the diagnosis of membranous nephropathy, treatment options including conservative management and immunosuppressive drugs, risks and benefits of treatment, and contraindications to immunosuppressive therapy.NEPHROTIC SYNDROME
NEPHROTIC SYNDROMERaman Kumar
油
Nephrotic syndrome is characterized by nephrotic range proteinuria, hypoalbuminemia, hyperlipidemia, and edema. It can be primary, caused by diseases limited to the kidney, or secondary, caused by diseases involving other organ systems. Primary causes include minimal change disease, focal segmental glomerulosclerosis, and membranous nephropathy. Management involves treating any underlying causes, controlling edema and hyperlipidemia, and using corticosteroids or other immunosuppressive drugs to induce remission in frequent relapsers or steroid-dependent patients.CASE REPORT -SEMINAR APML.pptx
CASE REPORT -SEMINAR APML.pptxseemajatthapi
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This case report describes a 3-year-old female patient presenting with bleeding symptoms including rashes, nosebleeds, gum bleeding, and bloody stools. Initial investigations revealed pancytopenia. The peripheral smear and bone marrow findings were suggestive of idiopathic thrombocytopenic purpura with evidence of infection rather than acute promyelocytic leukemia due to the absence of features such as organomegaly and specific immunophenotyping or cytogenetic findings. The patient was treated with antibiotics and supportive care and diagnosed with idiopathic thrombocytopenic purpura complicated by infection based on clinical presentation, investigations, and differential diagnosis workup.Case presentation on vhf
Case presentation on vhfVigneswari Paladugu
油
viral haemorrhagic fever are a group of febrile illness caused by RNA viruses from several viral familiesCase presentation on Myocardial Infarction
Case presentation on Myocardial Infarctioneducation4227
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Ram Bahadur Basyal, a 59-year-old male, was admitted to the hospital with complaints of chest pain, shoulder pain, shortness of breath, and vomiting. He was diagnosed with anteroseptal myocardial infarction. His condition gradually improved over his hospital stay through medication, oxygen supplementation, monitoring, and a progressive diet. He was discharged on the fifth day when his vital signs had stabilized and he could manage on a regular diet with some mobilization.Emergencies In Parkinsonism
Emergencies In Parkinsonismkomalicarol
油
Patients with Parkinsonism may present acutely to the ED with
serious and even life-threatening conditions. Although falls are
a common presentation in advanced Parkinsonism, early presentations with falls should alert the clinician that the patient might
have a Parkinson syndrome other than Parkinsons disease itself,
including autonomic neuropathy causing orthostatic hypotension.
Patients may present with neuroleptic malignant syndrome, acute
psychosis, marked hypokinesis, freezing gait, aspiration pneumonia, dysphagia, serotonin syndrome, dopamine dysregulation syndrome and intestinal pseudo-obstruction. An inpatient admission is
necessary for investigation and observation of these patients. We
present a case of a patient who presented with an uncommon side
effect of a common medication used for Parkinsonism. Modified therapeutic plasma-exchange
Modified therapeutic plasma-exchangeFarragBahbah
油
This document summarizes a presentation on therapeutic plasma exchange (PEX) given by Kamal Mohamed Okasha. It provides an overview of the PEX procedure and potential indications for PEX, including Goodpasture's Syndrome, thrombotic thrombocytopenic purpura, cryoglobulinemia, multiple myeloma, and ANCA disease. It discusses complications of PEX and guidelines for efficacy based on recent studies. In particular, it examines the use of PEX for Goodpasture's Syndrome, noting that PEX aims to remove circulating anti-GBM antibodies and that studies have found improved outcomes, including renal function and survival, for patients receiving PEX treatment.Thalessemia long case presentation by dr khadija akbar-3.pptx
Thalessemia long case presentation by dr khadija akbar-3.pptxKhadijaZeeshan1
油
The patient is an 11-year old female with known beta thalassemia major who presented with easy fatigability and increased pallor. She has a history of regular blood transfusions and iron chelation therapy. On examination, she had pallor and physical signs of thalassemia including frontal bossing and hepatosplenomegaly. Her lab results confirmed the diagnosis of beta thalassemia major. She requires lifelong management including regular blood transfusions, iron chelation therapy, and monitoring for complications.Mortality Meet Presentation by Dr. Saumya Agarwal
Mortality Meet Presentation by Dr. Saumya Agarwal Central Institute of Orthopaedics, Safdarjang Hospital and VMMC, New Delhi
油
SICKLE CELL1(1)
- 1. CASE PRESENTATION S.Navya Pharm-D 4th year HT.NO:13117D1007 Vaagdevi College of Pharmacy,Hanamkonda.
- 2. CASE PROFILE A male patient of age 28 years was admitted in general medicine male ward of MGMH with ip.no:21301 on 13/6/16. The patient case profile was explained in soap format. SUBJECTIVE FINDINGS: Severe pain in both upper and lower limbs since four days Pain in both knee joints since four days.
- 3. Fever of low grade associated with chills and rigours since four days. Bone pain(osteolgia) since five days. PAST MEDICAL AND MEDICATION HISTORY: Patient is a known case of sickle cell anemia since two years. NO PAST SOCIAL AND FAMILY HISTORY WAS FOUND.
- 4. OBJECTIVE FINDINGS COMPLETE BLOOD PICTURE:17/6 Haemoglobin:7.3gm% Total RBC:3.2million cells/mm Total WBC :12,3000cells/cmm Neutrophils:76% Eosinophils:9% Lymphocytes:12% monocytes:3% Pcv:23%, mcv:71%,mch:21pg,mchc:30gm/dl impression:microcytic hypochromic eosinophilia.
- 5. 16/6 LIVER FUNCTION TESTS: Total bilirubin:9.65mg/dl Direct bilirubin:5.46mg/dl SGOT:69.4U/L Alkaline phosphate:160U/L SGPT:47.1U/L 15/6 SERUM CALCIUM:5.8mg/dl 16/6 Ultrasound of abdomen: impression:mild hepatosplenomegaly 13/6 BLOOD UREA:45mg%
- 6. PHYSICAL EXAMINATION: On examination patient was conscious and coherent. Generalized weakness. Pallor+ Icterus+
- 7. PROVISIONAL DIAGNOSIS: Based on chief complaints, past medical history the patient was diagnosed with ABOUT DISEASE;Sickle cell anemia is a hereditary disease in which a mutated form of haemoglobin Distorts the red blood cells into a cresent shape at low oxygen levels. SICKLE CELL ANEMIA
- 8. Etiology:genetic inheritence called autosomal recessive inheritence;a variant of sickle cell anemia have HbS.HbS has valine substituent for glutamic acid as the sixth amino acid in the beta polypeptide compared with normal hemoglobin. Symptoms:Chest pain,pale skin,swelling in hands and feet,severe pain of joints and bones,severe infections etc.
- 9. Assessment of standard treatment
- 10. PLAN s.n o Drugs Dose ROA Freq Category 1. IVF 3 pint NS,1 pint RL Electrolyte replinesher 2. Inj.Ceftriaxone 1amp/IM BD 3rd gen cephalosporin 3. Inj.Diclofenac 1 amp/IM BD analgesic 4. Tab.Hydroxyurea 200mg/PO BD Antimetabolite 5. Tab.Pantoprazole 40mg/PO OD Proton pump inhibitor 6. Tab.Paracetamol 500mg/PO TID Antipyretic 7. Tab.Calcium 500mg/PO OD Calcium supplement 8. Tab.Ursodeoxycholic acid 300mg/PO OD Liver protective 9. Inj.Ketorolac 1amp/IM BD NSAID
- 11. Lifestyle modifications Take folic acid supplements daily, and choose a healthy diet. Drink plenty of water. Avoid temperature extremes. Exposure to extreme heat or cold can increase your risk of a sickle cell crisis. Exercise regularly, but don't overdo it.