G.Pradeep Kumar

LONG CASE FINAL EXAM  : Hall ticket no  - 1601006066   " This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent.  CASE  : A 65 year old male, resident of Veliminedu, Chityal who is a maestri by occupation 8 years back , came to the outpatient department on 12th of April 2021 . Chief complaints  :   Swelling in both the legs since 14 days and altered sensorium since 2 days.   History of presenting illness:   The patient was apparently asymptomatic 14 days ago, he then developed swelling in both the legs which was insidious in onset, gradually progressive, grade 3 pitting oedema, aggravated on rest and relieved by walking. It was associated with facial puffiness which was noticeable early in the morning. History of decreased urine output since 10 days. Members of the family complained of abnormal behaviour such as inappropriate shouting since 2 days.  Not associated with nausea, vomiting,

SHORT CASE FINAL EXAM  : Hall ticket no  - 1601006066 This is an online e log book to discuss about patients de identified data shared after taking his /her /guardians signed informed consent. CASE  :   35 year old male patient,  RESIDENT of ramchandrapuram, working as a daily wage labourer. He is a chronic smoker (1 pack of beedi every 2 days) and chronic alcoholic (90ml daily) since 20 years. He Presented with 3 month history of painless papules with erythema that started initially over the face then gradually extended to upper limb, low limbs and trunk. • Patient got topical cream, soap and some oral drugs from nearby medical shop  • He used them for 2 months, few lesions regressed but few persisted on nose, ear lobe, hands, legs and trunk. • 14 days ago patient developed blackish skin discolouration over hands and feet with skin peeling, cracking, ulcer formation associated with burning sensation and erythema all over the body. • Since 4 days patient developed continuous high grade