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Showing posts from March, 2022

Prefinal practical examination - 1/4/2022

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March 31, 2022 This is an online E log book 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 an available global online community of experts with an aim to solve those patient's clinical problems with collective,current,best evidence based inputs. This e-log book also reflects my patient centered online learning portfolio and your valuable inputs in the comment box is welcome K.Keshitha   Roll no - 64 9th semester This case is about a 75 year old female , a housewife , residing in miryalguda was brought to the hospital in unconscious state with unrecordable BP and pulse. Time line of events: Post CPR vitals: Afebrile BP 170/100 PR 110 BPM CVS S1,S2 + RS BAE+, Decreased air entry in rt mammary area There were myclonic movements noted on 29th march and 30th march. They were not seen before by the atten

40 year old patient with hepatic encephalopathy

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This is an online E log book 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 series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs. This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box  40 year old male patient , resident of ongole came to causality with chief complaints of : Generalised weakness , excessive sleepiness and fever since 2 days. History of presenting illness:  Patient was apparently asymptomatic 10 years back .  Then he started drinking alcohol 90 ml everyday and smoking 1 pack / day He was admitted to deaddiction centre in our hospital 5 years back for 40 days and then got discharged. He refrained from alcohol for 5-6 months but then started drinking

59 year old female with seizures.

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 This is online E log book 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 series of inputs from available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputsThis e-log book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome. A 60year old female came with complaints of seizures,vomitings,abdominal pain.  I've been given this case to solve in an attempt to understand the topic of "patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with a diagnosis and treatment plan. CASE PRESENTATION: A 60yr old female, who is a housewife presented to casuality on 2ndmarch2022 with CHEIF COMPLAINT

32 year old male with CKD on MHD

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  32 year old male, worker in a electrical industry in Mumbai came to the OPD, on 10/10/21 with acute onset of seizures. HOPI: Patient was apparently asymptomatic 3years ago, then he developed pain in loin region for which he went to a hospital in mumbai and was diagnosed with bilateral renal calculi and bilateral stents were placed. Patient had no problem after that and continued to work. After 4-5months the stents were removed.  1 week after removing the stents he again developed pain in his loin. He went to the same hospital and stents were placed again.  Patient had no problem after that and continued to work. About 1 year ago he developed multiple scaly, hperpigmented plaques over trunk with generalised necrosis. Last year he returned to his home town, near nalgonda and started farming. few months after that his lost his elder brother(due to sudden cardiac arrest according to what patient said), after that he stopped using his medication. On 10/10/21 (i.e, after 5-6 months after h