INTERNSHIP ASSESSMENT
UNIT DUTY:- (1) 36 yr old female with fever http://vishaladhani148.blogspot.com/2022/09/36-yr-old-female-with-fever.html (A) What are the warning signs & evidence which proves that she has severe dengue? (a) warning signs include- Abdominal pain & persistent vomiting. Severe dengue include- elevated liver enzymes &raised PCV. (B) what could be the reason for her elevated liver enzymes? (a) People also ask Why do liver enzymes increase in dengue? H epatocyte apoptosis directly by the virus, hypoxic damage due to impaired liver perfusion resulting from fluid leakage, oxidative stress or immune mediated injury . (C) What are the evidences to say that she landed up in ARDS? (a) clinically she developed shortness of breath. Her saturation also reduced. Xray showing B/l pleural effusion. Pao2/fio2 ratio- 252 MILD ARDS (2) 70 yr old female with SOB? http://vishaladhani148.blogspot.com/2022/09/70yr-old-female-with-sob.html (A) why her tropon