MEDICINE MONTHLY ASSIGNMENT
May 31st 2021 Name: Gnana Prasuna Reddy K. Roll no. 49 8th semester ANSWERS 1. PULMONOLOGY https://soumyanadella128eloggm.blogspot.com/2021/05/a-55-year-old-female-with-shortness-of.html 1) Evolution of symptamatology 20yrs ago- 1st attack of shortness of breath From then, every year in January, episode lasts for a week 12yrs ago- admitted to hospital with severe shortness of breath Current episode: Started 30 days back, dyspnoea on exertion, relieved on rest, But since 2 days, dyspnoea even at rest Possible explanation: attacks of dyspnoea can be triggered by winter season, vegetative matter, dust, pollen ( provided dyspnoea occurred at the time of working in rice fields) Possible etiology: vegetative dust (RICE) On investigation: upon CT, lower airway problem is seen Other associated symptoms : 1. Pedal edema since 15 days up till ankle level 2. Facial puffiness since 15 days 2) Placebo: has no physiological or pharmacological actions in body, but psychological effect is se