Ballal shruthi

  This is an online elog book to discuss our patients de-identified health data shared after taking his /her/ guardian informed consent here we discuss our individual patients problems through series of input from available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs. Date of admission: 3-02-2022 A 43 yr old female patient came to the casualty with a chief complaint of  lower backache since 2 days , pain abdomen and vomiting since 1 day  HISTORY OF PRESENT ILLNESS: Patient was apparantly asymptomatic 6 yrs back , then had anasarca went to the local hospital in Hyderabad and diagnosed to have hypothyroidism (started on tab.Thyronorm 50 microgram) & also got diagnosed for renal failure & was on tab.Torsemide 20 mg+ spironolactone 50mg and also DM ( started on inj.MIXTARD ) Currently patient complaints of pain abdomen which is diffuse , intermittent, dull aching pain associated with vom

 1. Define heart failure etiology and clinical features of heart failure ? How do we diagnose heart failure clinically physical examination various modalities used in diagnosis of heart failure  2. Define cirrhosis of liver . Etiopathogenesis of cirrhosis. Write a brief note on clinical features, diagnosis and treatment of cirrhosis of liver 4. Etiology of pleural effusion. Diagnostic criteria of pleural effusion 5. Diagnosis and treatment of dengue fever 6. Clinical features and diagnosis of peptic ulcer disease 8 Treatment of abdominal tuberculosis 10. Complications of dialysis 11 ascitic fluid analysis. 14. Treatment of urinary tract infection 15. Differential diagnosis of fever with rash 16. Insulin therapy in Diabetes mellitus  17. Antihypertensive drugs in CKD  20 Hormones secreted by pituitary gland