GENERAL MEDICINE ASSIGNMENT FOR MAY2021

    1) Covid 19 with co morbidity (Pulmonology/Rheumatology) https://nikhilasampathkumar. blogspot.com/2021/05/covid- pneumonia-in-pre-existing- case-of.html Q1) How does the pre-existing ILD determine the prognosis of this patient?  In patients with preexisting ILD, COVID-19 infection has led to acute exacerbation of underlying ILD.  The criteria for ILD exacerbation include: 1) subacute worsening of dyspnea  2) hypoxemia  3)new pulmonary infiltrates on imaging   4)absence of pulmonary emboli 5)cardiac failure 6) other non-pulmonary causes Thus it leads to a poor prognosis Q2) Given the history of autoimmune disease in the patient, how does the administration of steroids for COVID affect her RA and hypothyroidism?  Corticosteroids  manages the  disease flares and for initial treatment of RA  glucocorticoids are significant risk factor for bacterial infections.  Glucocorticoid use doubled the rate of serious bacterial infections in a dose-dependent manner as compared with methotrexate

  I have been given the following cases to solve in an attmept to understand the topic of 'Patient clinical data analysis' to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and diagnosis and coem up with a treatment plan. This is the link of the questions asked regarding the cases: https://medicinedepartment.blo gspot.com/2020/09/medicine-pap er-for-october-2020-first.html ?m=1 Below are my answers to the Medicine Assignment based on my comprehension of the cases.  PULMONOLOGY CASE-1 : https:// soumyanadella128eloggm. blogspot.com/2021/05/a-55- year-old-female-with- shortness-of.html Q1)    What is the evolution of the symptomatology in this patient in terms of an event timeline and where is the anatomical localization for the problem and what is the primary etiology of the patient's problem? A1 )  Timespan o f patients symptomology : 20 YEARS BACK --  first episode of SOB 15 YEARS BACK -- facial puffine