Internal medicine consultation service

Internal medicine consultation service Medicine

05/07/2018

45 years old male patient visited my OPD 3 months ago.
He was last relatively healthy 1 year back at which time he began to have depressive symptoms after he lost his wife. For this complaint he visited one of the private hospital in Dessie& he was diagnosed to have MDD with major psychotic features and was started on anti-psychotic and anti-depressant. He took the medications adherently but showed no significant improvement. After 3 months he developed weight gain, fatigue and dyspnea and he was evaluated by another internist in the private setting, after echocardiography revealed pericardial effusion he was started on Anti- TB but showed no improvement. After he finished anti TB echo was repeated the with TB pericarditis conclusion again.by this time he developed weight gain and constipation. He was to be started on anti-TB but I was consulted and we considered hypothyroidism and TFT was sent.TSH=100.siginficantly elevated. We started him on levothyroxine. Currently he is off anti- psychotic, no edema, no pericardial effusion and he showed significant improvement symptomatically.
Bring your difficult cases here and let us discuss.

18/07/2017

65 years old hypertensive pt on amlodipine 10 mg po per day come to you with bilateral leg swelling.evaluated for cause of edema no cardiovascular or other causes of edema identified. What is the next step in management of this case.
If his Bp is poorly controlled what anti hypertensive you will add.

15/09/2016

35 years old multiparous lady having 2 kids was diagnosed to have PPDCMP in post delivery period.
Ejection fraction is 30 %.
If she ask for future pregnancy what will be your response?
Can you safely give disease modifying drugs during lactation?

01/09/2016

A hypertensive pt on Hct 25mg daily asked you at which time during the day can I take my medication. What will be you answer.
Please justify?

the major milestones in the management of AF.
30/08/2016

the major milestones in the management of AF.

27/08/2016

bring your difficult cases summary ...you will have management opinion soon

A 52-year-old male corporate executive who comes to the office as a new patient, having just been relocated by his compa...
27/08/2016

A 52-year-old male corporate executive who comes to the office as a new patient, having just been relocated by his company. He gives a history of smoking (1 pack per day for 25 years), hyperlipidemia, and hypertension, and he currently is taking a statin, an angiotensin receptor blocker, a β-blocker, and a daily aspirin. He denies any history of chest pain or dyspnea, other than 2 days of mild chest fullness with slight shortness of breath 2 months earlier during a vacation to Vail, Colorado, after a particularly stressful period at work. On return home, he saw his internist who told him, after obtaining a confirmatory echocardiogram, that he had experienced a myocardial infarction, but that his heart function was near normal. At that time, his medications were adjusted to his current regimen. He has no previous medical records with him, but denies any other recent or remote illnesses. An ECG is obtained.

Address

Shall
Dessie

Telephone

+251943434565

Website

Alerts

Be the first to know and let us send you an email when Internal medicine consultation service posts news and promotions. Your email address will not be used for any other purpose, and you can unsubscribe at any time.

Shortcuts

Share

Share on Facebook Share on Twitter Share on LinkedIn
Share on Pinterest Share on Reddit Share via Email
Share on WhatsApp Share on Instagram Share on Telegram

Category