bimonthly internal assessment of intern
𝙈𝙚𝙙𝙞𝙘𝙞𝙣𝙚 𝙖𝙨𝙨𝙚𝙨𝙨𝙢𝙚𝙣𝙩 : September 7 , 2020 Roll no: 131 , medicine intern Srujana Kondamadugula I have been given these two cases to understand and analyze as part of my End Posting Examination. 𝙌𝙪𝙚𝙨𝙩𝙞𝙤𝙣 --- 1 : 1) The complete diagnosis is a 45 year old woman with Nephrotic Syndrome secondary to Diabetic Nephropathy characterized by Anasarca. The anatomical diagnosis is Anasarca and the etiological diagnosis is Nephrotic Syndrome secondary to Diabetic Nephropathy. 2) Azotemia is the accumulation of nitrogenous based waste products in the blood. In this case, Azotemia may occur due to acute kidney injury caused by Diabetes. Damage to the glomeruli or renal tubules can lead to decreased glomerular filtration rate which can cause Azotemia. Anemia: During her first day in the hospital, a CUE was done which showed 4-5 RBCs/HPF which means there is hematuria to a certain extent. This may be a contributing factor to cause anemia. However, she may be having Iron