Dr KranthiMenmula

THESIS TITLE: THERAPEUTIC OUTCOMES IN PATIENTS WITH CARDIOVASCULAR DISEASE IN CHRONIC KIDNEY DISEASE. PROBLEM STATEMENT:  CKD is common in patients with heart failure, associated with high mortality and morbidity, which is even higher in people undergoing long-term dialysis. Despite increasing use of evidence-based drug and device therapy in patients with heart failure in the general population, patients with CKD have not benefitted AIM: MANAGING CARDIOVASCULAR DISEASE IN PATIENTS WITH CHRONIC KIDNEY DISEASE. OBJECTIVES:  1. To study the cardiac changes and complications in patients with chronic kidney disease. 2. To improve outcomes in patients having heart failure with CKD. 3. Understanding development LV dysfunction. PATIENTS AND METHODS: PLACE OF STUDY: Kamineni Institute of Medical Sciences and Hospital, Narketpally.   STUDY PERIOD: November 2022 to October 2024. STUDY DESIGN: Prospective study. SAMPLE SIZE : 60. INCLUSION CRITERIA: The following criteria were u...

This is an online E logbook to discuss our patient’s de-identified health data shared after taking his/her/guardian’s signed informed consent. Here we discuss our individual patient’s problems through a series of inputs from the available global online community of experts intending to solve those patients' clinical problems with collective current best evidence-based inputs. *PAST ADMISSION* PRESENTING COMPLAINTS:  C/O Abdominal distention since 20 days; SOB since 6 days; decreased food intake and altered sleep cycle since 5 days. HOPI:  A 31 year male presented to the opd with complaints of abdominal distention, gradually increased in size associated with shortness of breath of Grade II-III; History of ocassional low grade intermittent fever not associated with chills and rigors. History of decreased urine output since a day. History of black coloured stools since a day. Now admitted for further treatment and management. PAST  ILLNESS:  A 31 year male had complaint...

This is an online E logbook to discuss our patient’s de-identified health data shared after taking his/her/guardian’s signed informed consent. Here we discuss our individual patient’s problems through a series of inputs from the available global online community of experts intending to solve those patients' clinical problems with collective current best evidence-based inputs. PRESENTING COMPLAINTS: C/O :-  Left loin pain,  Diffuse abdominal pain,  Fever since 4 AM on 22/07/2022.  C onstipation since 3 days. HOPI:   A 55 year female presented to the casuality with c/o left loin pain radiating to the back and diffuse squeezing type of abdominal pain since 4 AM on 22/07/2022; Low grade intermittent fever associated with chills, relieved on taking medication. 2 episodes of vomiting, food as content, non bilious, non projectile at 6AM. History of Constipation since 3 days. Now admitted for further evaluation and management. PAST ILLNESS: In 2010 she had an episo...

This is an online E logbook to discuss our patient’s de-identified health data shared after taking his/her/guardian’s signed informed consent. Here we discuss our individual patient’s problems through a series of inputs from the available global online community of experts intending to solve those patients' clinical problems with collective current best evidence-based inputs. PRESENTING COMPLAINTS: A 21 year female presented to the casuality with complaints of :- 1. Fever since 10 AM on 21/07/2022 2. Generalized body pains. 3. Vomiting since evening of 21/07/2022. HOPI: A 21 year female presented with complaints of high grade intermittent fever associated with chills and generalized body aches; associated with 6 episodes of vomiting, food as content, non bilious and non projectile associated with abdominal pain. History of frontal headache in a band pattern. History of outside food intake (corn + chicken). No history of bleeding manifestations, tinnitus, cold, cough, chest pain, pa...

This is an online E logbook to discuss our patient’s de-identified health data shared after taking his/her/guardian’s signed informed consent. Here we discuss our individual patient’s problems through a series of inputs from the available global online community of experts intending to solve those patients' clinical problems with collective current best evidence-based inputs. Presenting complaints : C/O Constipation since 3 days ;  C/O Pain Abdomen since 2 days ;  C/O Multiple episodes of vomiting since a day ; C/O Decreased Urine output since a day ; C/O SOB since today morning . HOPI : The patient had history of binge Alcohol drinking since 4 days with no intake of food . He had history of Constipation since 3 days. History of burning type of generalized abdominal pain since 2 days . History of vomiting 20-30 episodes since a day, non projectile, non bilious, alcohol as a content and decreased urinary output since a day which was progressed to nil urine output since night on...