Medicine case elog book

Hi every one ,this is student of 4th yr MBBS .I was given the case which is in the link below: https://saikiranpatnam.blogspot.com/2020/05/medicine-case.html?m=1 Case: A 30 yr old male patient came with the chief complaints of: Palpitations. Dyspnea. Pedal edema. REASONS: Palpitations: The patient has history of palpitations since 1 yr which were persistant and precipitated on exertion and relieved on rest. Palpitations can be heart related or other causes. Since it is the case of long duration and persistant palpitations, it has the differential diagnosis of heart related disordes: High blood pressure:Blood pressure is normal(120/70 mmHg) Abnormal heart valves Coronary artery disease Heart Failure: On cardiac examination , Right venticular heave is seen and even associated with raised JVP with prominent a wave . Raised JVP indicates high venous pressure , most probable for heart failure. Associated with right ventricular heave indicating right venticular hypertrophy. This shows the pr

Hi everyone, this is 4th year mbbs student and i was given a case to learn better in approaching a case. Case given to me is in the link given below: https://classworkdecjan.blogspot.com/2019/05/42-f-with-severe-regular-edema-with_17.html?m=1 Case: It was a 42yr old female with problems: 1.Loss of coordination ,numbness on the left side. 2.Breathing problems. 3.Salt cravings. 4.Swelling. 5.Poor stress response. Reasons for the problems: 1.Loss of coordination and numbness on the left side indicating like left sided hemiplegia. -causes can be Brain infections,Brain tumors,Genetic abnormalities. -she also suffered with very long duration of migraine and severe headache;hemiplegia associated with migraine can be hemiplegic migraine which is a genetic abnormality due to mutation of genes like ATP1A2,SCN1A. -she has low vitamin B12 levels which causes demyelination of neurons ,may be a cause for loss of coordination and spinnimg movements. 2.Breathing problems: -she is suffering with G6PD d