MEDICINE BLOG

THESIS  TITLE : FACTORS INFLUENCING DEVELOPMENT OF HEART FAILURE AND OTHER OUTCOMES IN SUSPECTED CORONARY ARTERY DISEASE PATIENTS IN RURAL MEDICAL COLLEGE INTRODUCTION :  Coronary artery disease is the major  cause of mortality and morbidity all over the world Coronary artery disease is an inflammatory disease which occurs due to the formation of atherosclerotic plaque, and the deposition of lipids leads to blockage of coronary artery which causes ischaemia and decreases the oxygen to the myocardium  Coronary disease is the most common cause of heart failure(HF) and an  important therapeutic target for improving HF associated morbidity and mortality.  Heart failure is a complex clinical syndrome and represents the final path of numerous heart diseases. The risk factors include diabetes mellitus , hypertension , smoking , hyperlipidemia, obesity( visceral fat and sarcopaenia) homocystinuria , and psychological stress. The prevalence of these risk factors amo...

January 22, 2023  This is a online E log book to discuss our patient’s de-identified health data shared after taking his/her/guardian’s signed informed consent. Here we discuss our individual patients problems through series of inputs from available global community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs .This E log book also reflects my patient centered online learning portfolio and your valuable inputs in comment box is welcome.   A 65 years old Man Who is Resident of Narketpally who was Alcohol ( Sara ) Seller & Shepherd by Occupation Came with C/O  Fever Since 3 Days. HOPI :  At 10 years of Age Patient Was apparently Asymptomatic Till 10 years of Age & Once day He Climbed & Fell Down While Cutting Tree leaves for feeding Their Goats & Had a Fracture of Lt.Forearm & Went to Nalgonda District Hospital where Cast was applied & After 20 days He developed infection ...

January 22, 2023  This is a online E log book to discuss our patient’s de-identified health data shared after taking his/her/guardian’s signed informed consent. Here we discuss our individual patients problems through series of inputs from available global community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs .This E log book also reflects my patient centered online learning portfolio and your valuable inputs in comment box is welcome. 60 year old female house wife, resident of chouttuppal came to casualty with chief complaints of breathlessness since 3 days, pedal edema since 1 month. Patient was apparently asymptomatic 20 years back , then she developed DM, hypothyroidism and was on regular medication since then.Pt has H/O SOB on and off since 6 months which was initially of grade 2 then progressed to grade 4 since then for which she visited cardiologist in our hospital and is on Aspirin , Atorvas, Clopidogre...