General medicine monthly assessment
Harinarthini Vaishnavi This is online elog book to discuss our patient's de-identified health data shared after taking his /her /guardians signed informed consent. Here we disuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs. LONG CASE 44 year old male With Death of bilateral symmetrical Oedema and progressive generalised oedema The case was very well presented with adequate information for easy diagnosis Provisional Diagnosis - Acute Glomerulopathy (Glomerulonephritis / Nephrotic syndrome) Features to look for - Hypertension (secondary hypertension in Glomerulonephritis) Haematuria on Urine Microscopy (particularly dysmorphic RBCs in urine) Quantification of Proteinuria Serum Albumin / Total Proteins Urine specific gravity / calculated urine osmolality to check for isosthenuria (to look for secondary tubular/i