internal assessment-II Paper -2
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29 year old female with c/o joint pains since 10 months
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 reflects my patient centered online portfolio and your valuable inputs on the comments is welcome. January 11,2022. Name:M.Tejaswini Roll No:81 9th semester 29 YEARS OLD FEMALE WITH C/O JOINT PAINS and ITCH SKIN LESIONS SINCE 10 MONTHS 29 year old female came to the op with *Chief complaints of :- •Bilateral joint pains in u pper and lower limbs(knees, hip, ankle, shoulder, elbow, wrist, including small joints) since 10 months. •Itchy lesions over the face,upper aspect of the chest, neck and back of the neck and upper trunk with dark coloured lesions over the knuckles since 10 months. ...
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
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.