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Showing posts from October, 2021

A 65yr old female came to the casuality with the chief complaints of SOB

A 65yr old female came to the casuality with the chief complaints of SOB since 30mins it was gradual in onset, progressive , since 11pm  Which increased on supine position and relieved on sitting There was a similar complaint on 12/9/21 She is k/c/o HTN since 7months and is on Tab concor 5mag since 10days She is k/c/o of DM,TB, Asthma,epilepsy It was not associated with palpitations,giddiness, sweating, blackouts, blurring of vision, fever , cold, cough, generalised weakness, burning micturition. General examination Pallor, icterus, cyanosis , clubbing, lymphadenopathy : absent Edema : B/L mild pitting type upto shin of tibia Vitals: Temperature: afebrile Pulse rate 72 bpm BP: 140/90 mmHg SpO2: 92% with room air Respiratory rate: 23cpm Systemic examination RS: BAE+ CVS: S1S2 + PA: soft non tender CNS: no FAD F/U: The patient didn't recieve any medication on tht day and her SOB subsided  and is completely fine now... She is just continuing her hypertension medication

INTERNAL ASSESSMENT ANSWERS

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 Q1. Q1) define bone density, how it is measured?what are the causes ,clinical features ,diagnosis and management of osteoporosis? https://rishik37.blogspot.com/2021/08/gm-elog-case-7.html Q2. Q2) what is myxedema coma ?describe its clinical features, diagnosis and treatment of myxedema coma . http://mahithguduri63.blogspot.com/2021/09/myxedema-coma.html Q3. Q3)  what is diagnostic approach of young onset hypertension and it’s treatment. http://keerthykasa80.blogspot.com/2021/09/a-35-year-old-female-with-hypertensive.html Q4. Q4)   how do you clinically localise the anatomical level of lesion in spinal cord diseases. http://sowmya9.blogspot.com/2021/08/21-year-old-with.html A5.

60 yr old male with SOB since 15 days on and off

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This is an online e log book to discuss our patient identified health data shared after taking his/her guardian signed informed consent. Here we discuss our individual patient problems through a series of inputs from available global online community of experts with a aim to solve those patients clinical problem with collective current best evidence based inputs.This blog also reflects my patient centered online learning portfolio and valuable inputs on the comments box is welcome.I have been given this case to solve in an attempts to understand the topic of patient clinical data analysis, to develop my competency in reading and comprehending clinical data including history, clinical finding, investigation. A 60 yr old male came to the Casuality with the chief complaints of SOB since 15days on and off HOPI : Patient was apparently asymptomatic 15days back then he developed SOB(grade 4) Which was on and off. It is associated with pedal edema which is of pitting type. SOB is associated w...

A 30 years old female with ITP and dengue hemorrhagic fever

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This is an online e log book to discuss our patient identified health data shared after taking his/her guardian signed informed consent. Here we discuss our individual patient problems through a series of inputs from available global online community of experts with a aim to solve those patients clinical problem with collective current best evidence based inputs.This blog also reflects my patient centered online learning portfolio and valuable inputs on the comments box is welcome.I have been given this case to solve in an attempts to understand the topic of patient clinical data analysis, to develop my competency in reading and comprehending clinical data including history, clinical finding, investigation. A 30 years old female came to opd with chief complaints of  bleeding from gums  since yesterday morning with  multiple reddish swelling in oral cavity Multiple small swellings  all over the body ( petechiae)  since yesterday evening Increased menstr...