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CLINICAL CASE NUMBER 2

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      CLINICAL CASE NUMBER 2     M.D(Med),D.O.I.H,F.I.A.E,D.H.A,F.A.I.M.P(Cardiology) Senior Cardio-Metabolic Physician Senior Echocardiography Trainer Cont.: 8605657755   Today I saw a 70 years old patient. She was generally healthy and well controlled with diabetes and Hypertension which she had for many years. She was under my care for the last few years For all assumptions she would live a few more years very healthily. Her children were all involved in taking care keeping her healthy and happy. The family was very loving to the elderly mother. She slipped in her house and fell down and developed a fracture of the neck of femur. This warranted a surgery. The children agreed to surgery. They selected a very good surgeon in their area and got her admitted to a very good hospital.   The surgery went on very well. There were no complications or post-operative anxiety. The patient was admitted to the hospital for 10 days and everyone was happy. The relativ

MEDICAL LEARNING 1

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        CLINICAL CASE NUMBER 1           M.D(Med),D.O.I.H,F.I.A.E,D.H.A,F.A.I.M.P(Cardiology) Senior Cardio-Metabolic Physician Senior Echocardiography Trainer Cont.: 8605657755 Mrs Manjusha (name changed) aged 86 years referred to me by her close relative one year back. The lady has been sleeping in various hospitals for the   last 90 days. Feeling very sick with breathlessness, palpitations, weight loss, chest pain, nausea and vomiting, constipation and urine infections. She had with her a variety of diagnosis from depression to congestive cardiac failure. As I examined her I could clearly see an emaciated dehydrated old lady, needing support to move a few steps. Tachycardia with a BP of 160/90. Not interested even to cooperate with medical examination. Grunting will pain over every part of the body and waiting for the call from God.      She had a p