General medicine monthly assignment
SECTION 1: (PULMONOLOGY) 1) What is the evolution of the symptomatology in this patient in terms of an event timeline and where is the anatomical localization for the problem and what is the primary etiology of the patient's problem? Ans: The patient's symptoms started 20 years ago during the winter season, and recurred very year during the same time. This indicates a gradual progression of shortness of breath. The seasonal incidence indicates the seasonal exacerbation of COPD. The anatomical localisation of the problem is in the lungs, specifically bronchial tubes. The ethology of this may be due to environmental exposure to pollutants. 2) What are mechanism of action, indication and efficacy over placebo of each of the pharmacological and non pharmacological interventions used for this patient? Ans: Head end elevation improves the breathing due to orthostatic dyspnoea as associated with the heart failure here. The O2 inhalation is shown to increase the O2 saturation and mai