GENERAL MEDICINE ASSESSMENT
I am,Pakker vaishnavi ,MBBS 3rd semester holding roll no 99 QUESTION:1 Case:https://soumyanadella128eloggm.blogspot.com/2021/05/a-55-year-old-female-with-shortness-of.html A 55 yr old female patient CHIEF COMPLAINTS •shortness of breath • pedal edema • Facial puffiness HISTORY: •diabetes mellitus since 8yrs •anemia and took iron injections 5 yrs ago • generalized weakness since 1 month •hypertension • pedal edema, facial puffiness since 15 days INVESTIGATIONS: •2d echo •ecg • abg levels • serum iron • serum electrolytes • lft • rft • chest x ray • hrct DIAGNOSIS: Acute exacerbation of COPD associated with right heart failure and bronchiectasis. COPD Chronic obstructive pulmonary disease, commonly referred to as COPD, is a group of progressive lung diseases. BRONCHIECTASIS condition in which the lungs' airways become damaged, making it hard to clear mucus. Bronchiectasis may result from an i