ward

Questions in today's rounds-

Pulmonary embolism types and role of conservative management in segmental/ subsegmental PE

Cause or mech of unilateral involuntary movements in hyperglycemic state 

Rbbb in osteum secondum 

Differentiating seizures , pseudoseizures 

Differentiating neurocysticercosis with tuberculoma

Hypokalemia association/ causation with renal failure?

Hypokalemic periodic paresis channelopathies in association with Rta1 , sjogrens




Questions-

Questions in today's rounds-

Icu Bed no 1
Pulmonary embolism types and role of conservative management in segmental/ subsegmental PE

Icu Bed no 2
Cause or mech of unilateral involuntary movements in hyperglycemic state 


Amc Bed no 1
Differentiating seizures , pseudoseizures 

Amc Bed no 3
Hepatic cysts and renal cysts association

Amc Bed no 4
Hypokalemia association/ causation with renal failure?



Ward
Differentiating neurocysticercosis with tuberculoma

Rbbb in osteum secondum 


Follow up -
Hypokalemic periodic paresis channelopathies in association with Rta1 , sjogrens





Icu Bed no 1
70/F
Diagnosis-
Altered sensorium 2° to 
Uremic encephalopathy
? Septic encephalopathy
With Aki on CKD ( stage 5)
On hemodialysis 
Post HD state 
With type 2 resp failure ( resolving)
Htn (12 yrs)


Icu Bed no 2-

70 yrs old Female with HOSPITAL ACQUIRED PNEUMONIA WITH TYPE 1RESPIRATORY FAILURE
WITH HYPERGLYCEMIA RESOLVED WITH CHOREA RESOLVED WITH DIABETIC NEPHROPATHY WITH REFURRENT UTI WITH IRON DEFICIENCY ANEMIA
K/C/O DM2 SINCE 30 YRS
K/C/I HYPOTHYROIDISM SINCE 15 YRS.
K/C/O CKD SINCE 2 YRS


Icu Bed no 3 
New admission
Altered sensorium under evaluation secondary to ?meningoencephalitis 
K/c/o DM2 since 9 yrs

Icu Bed no 4
?pneumonia ( clinically ) 
Left Unilateral inspiratory crepts 

Icu Bed no 5 
Acute stroke? Ischemic
? Pca ? Mca
Amc Bed no 1 
15/F
With seizures under evaluation

Bed no 2 
Acute Kidney Injury with Lupus Nephritis(iv/v) secondary to acute gastroenteritis (resolved) with hyperkalemia (resolved) with ?anemia of chronic inflammation with ? 
Lupus induced heart failure with pulmonary edema(resolved)
K/c/o HTN since 3 months

Bed no 3
Diagnosis 
Ascitis under evaluation 
Low saag high protein (Cells 560 )
? Spontaneous bacterial peritonitis 
Multiple cysts in hepatic and renal ( single ) 
?PCKD 
With epigastric hernia

Bed no 4
 
Aki on CKD
Htn
( h/o hypokalemic periodic paresis)0


Bed no 6
Hfmef
With s/p ptca (21/1/23)
Triple vessel disease 

https://70pranaykp.blogspot.com/2023/02/a-case-of-85-year-old-female.html



Ward 
Bed no 1
18/F Seizures 2° to NCC
https://abhignya83.blogspot.com/2023/02/18-yr-old-female-with-seizures_14.html

Bed no.2
68/F with 
Acute exacerbation of COPD
https://166sasirakasinadhuni.blogspot.com/2023/02/68yf-with-sob.html

Bed no.3
34/M 
C5-6 compressive cervical myelopathy



Bedno.4
38/F 
POD 5 STRICTURE URETHRA S/P SINGLE SHAPED URETHROPLASTY UNDER GA



Bed no.5
85/F 
HF WITH MIDRANGE EF 45% WITH ISCHAEMIC CARDIOMYOPATHY WITH S/P PTCA TO LAD (21/1/23) CAG: TRIPLE VESSEL DS
? CKD WITH OSTEOARTHRITIS OF B/L KNEES
https://70pranaykp.blogspot.com/2023/02/a-case-of-85-year-old-female.html

 Icu
Bed -1 70/F altered sensorium secondary to uremic encephalopathy ? Septic encephalopathy


Bed-2 65/F Hospital acquired pneumonia with type 1 respiratory failure(resolving) with hyperglycemia(resolved) with chorea(resolved) with diabetic nephropathy with recurrent UTI with iron def anemia
http://rithikakunapareddy.blogspot.com/2023/02/this-is-online-e-log-book-to-discuss.html


Bed -3 70/M altered sensorium under evaluation secondary to meningoencephalitis

https://srinithya27.blogspot.com/2023/02/70yr-old-male-with-altered-sensorium.html


Bed -4 57/F pyrexia secondary to LRTI

https://bardawalkrishna.blogspot.com/2023/02/february-14-2023-is-online-e-log-book.html

Bed-5 70/F Acute CVA secondary to acute ischaemic stroke in ?right occipital lobe
http://rithikakunapareddy.blogspot.com/2023/02/70-year-old-female-was-brought-to.html

Ward 
Bed no 1
18/F Seizures 2° to NCC
https://abhignya83.blogspot.com/2023/02/18-yr-old-female-with-seizures_14.html

Bed no.2
68/F with 
Acute exacerbation of COPD
https://166sasirakasinadhuni.blogspot.com/2023/02/68yf-with-sob.html

Bed no.3
34/M 
C5-6 compressive cervical myelopathy
http://52-santoshkumar.blogspot.com/2023/02/34-yrm-with-compressive-myelopathy.html




Bedno.4
38/F 
POD 5 STRICTURE URETHRA S/P SINGLE SHAPED URETHROPLASTY UNDER GA
https://ssahamedicalcases.blogspot.com/2023/01/patient-history-pt-is-38-yr-old-female.html




Bed no.5
85/F 
HF WITH MIDRANGE EF 45% WITH ISCHAEMIC CARDIOMYOPATHY WITH S/P PTCA TO LAD (21/1/23) CAG: TRIPLE VESSEL DS
? CKD WITH OSTEOARTHRITIS OF B/L KNEES
https://70pranaykp.blogspot.com/2023/02/a-case-of-85-year-old-female.html



Q-
1.pulmonary embolism causing pulmonary edema

2.sputum culture for pneumonia 

3.
Emperical Att for meningitis
How to diagnose active tb ( radiologically )

Diabetes association with tb

5.
Horners
Sympathetic trunk anatomy

Icu
Bed -1 70/F altered sensorium secondary to uremic encephalopathy with stage V CKD with type II RF 





Bed -3 70/M altered sensorium (resolving) secondary to meningoencephalitis secondary to tuberculosis
https://srinithya27.blogspot.com/2023/02/70yr-old-male-with-altered-sensorium.html


Bed-6 18/F seizures secondary to hypertensive encephalopathy?PRES with young onset denovo detected HTN

http://73varunsaim.blogspot.com/2023/02/16-year-old-female-with-hypertensive.html

Amc 
bed -1 pyrexia secondary to LRTI
https://bardawalkrishna.blogspot.com/2023/02/february-14-2023-is-online-e-log-book.html


Bed -2 AKI with lupus nephritis(IV/V) secondary to acute gastroenteritis(resolved) with hyperglycemia(resolved) with anemia of chronic inflammation with lupus induced heart failure with acute pulmonary edema(resolved)

Bed -3 70/F with spontaneous bacterial peritonitis
http://73varunsaim.blogspot.com/2023/02/a-case-of-70yr-old-female-with-ascitis.html
Bed -4 HAP with type 1 RF(resolving) with hyperglycemia(resolved) with diabetic nephropathy with recurrent UTI with IDA
http://rithikakunapareddy.blogspot.com/2023/02/this-is-online-e-log-book-to-discuss.html


Bed-5 acute CVA secondary to acute infarct in ? Right parietal lobe, B/L cereberal hemispheres B/L temporal lobe, thalamic, pons, midbrain with diffuse cerebral atrophy
http://rithikakunapareddy.blogspot.com/2023/02/70-year-old-female-was-brought-to.html

Amc cubical 58/F uncontrolled sugars 
https://makkenavarsha76.blogspot.com/2023/02/50-year-old-female-with-uncontroled.html






Icu bed no 1
http://marisatejaswini.blogspot.com/2023/02/70f-with-altered-sensorium-secondary-to.html

Q -
Patient worsening - HIE?
Could it still be sub massive / subsegmental PE ?



Icu Bed no 3 - 
http://73varunsaim.blogspot.com/2023/02/a-case-of-70yr-old-female-with-ascitis.html

Q- is the response seen is due to steroid/ or ATT?
Cause for the hiccups?


Icu Bed no 6-
http://73varunsaim.blogspot.com/2023/02/16-year-old-female-with-hypertensive.html

Q- Cause for her HTN?
Changes in MRI are PRES?? 
Cause for her differential Bp in upper and lower limbs?

Amc
Bed no 1 

Yesterday admission
20/M
Dengue fever with thrombocytopenia( resolving)
D6 of illness
Malena+

Bed no 2
https://rishithareddy30.blogspot.com/2022/11/30-yrs-old-female.html

AKI with lupus nephritis(IV/V) secondary to acute gastroenteritis(resolved) with hyperglycemia(resolved) with anemia of chronic inflammation with lupus induced heart failure with acute pulmonary edema(resolved)

Bed no 3

http://73varunsaim.blogspot.com/2023/02/a-case-of-70yr-old-female-with-ascitis.html

Cause for hepatic cysts??
Normal counts with Sbp??
Cause for sbp ? With increased cell counts( 1650)?

Bed no 4
Nephrology case
40/ M with 
Stage 5 ckd on MHD
With 2° hyperaparathyroidism
With recurrent hypoglycemia
Htn+ 10y

Q- Cause for recurrent hypoglycemia?


Bed no 5
Yesterday's admission
40/M
Alcoholic liver disease with k/c/o Diabetes (4months)

Bed no 6
https://bardawalkrishna.blogspot.com/2023/02/february-14-2023-is-online-e-log-book.html



Cubicle

Bed no 1
50/F 
https://makkenavarsha76.blogspot.com/2023/02/50-year-old-female-with-uncontroled.html


Bed no 2
19/F
http://drbnr.blogspot.com/2023/01/18f-with-dka-with-perianal-abscess.html

Questions-

Pathophysiology of meningitis

Cause for normal counts in pneumonia

Hiccups pathophysiology

Dengue fluid correction with postural drop

Lupus nephritis ( proteinuria) steroid
Response to Medications for proteinuria



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