2nd internal medicine answer sheet










 



 














 

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Gm case (45 yr male)

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                  GENERAL MEDICINE  17-11-22 This is an online E log book to discuss our patient's de-identified health data shared after taking his /her/guradian's consent. This E log book also reflects my patient-centered online learning portfolio and your valuable inputs in the  comment box below. DATE OF ADMISSION: 16-11-22 A 45 year old male laborer by occupation came to opd with CHIEF COMPLAINTS OF: . Severe pain in abdomen  HOPI:  . The patient was apparently asymptomatic 1 month back and developed  severe pain abdomen which was sudden in onset for which he went to rmp hospital and pain subsided after taking medication for 2 days  . Again he developed sudden pain in abdomen 1 week back in the epigastric and right hypochondriac region radiating to backside dragging type of pain, no aggrevating or relieving factors . Associated with 2 episodes of vomiting  . No h/o fever, burning micturition, chest pain...
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General medicine elog

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 October 22 ,2021 GM CASE I. AKHILA Roll no-158 Below is an E-log describing patient centered data approach and discussion regarding patient de- identified health data. CHIEF COMPLAINTS  A 30 yrs old male patient came to casuality with  chief complaints of fever since 7days ,shortness of breath,cough,cold and myalgia HITORY OF PRESENTING ILLNESS -     ---fever since 7days     ---shortness of breath     ---cough,cold myalgia PAST HISTORY       -- -no known past history of diabetes, hypertension,asthma, epilepsy      PERSONAL HISTORY: H/o tobacco and alcohol consumption  Not a known case of DM VITALS   Patient was C/C/C PR :  98BPM. RR : 18 CPM BP : 90/70 mm of Hg.  Spo2 : 98 % at RA. GENERAL EXAMINATION- Patient is  thin built and malnourished No pallor, icterus, cyanosis, lymphadenopathy, Clubbing PROVISIONAL DIAGNOSIS     The patient may have had covid before   Currently t...
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158 - Akhila.I( prefinal osce and learning points)

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Dec 5th 2023 Blog link- http://inavoluakhila.blogspot.com/2023/12/long-case-elog-medicine.html Osce questions  1. How does cpap work CPAP machines  possess a motor that pressurizes room temperature air and delivers it through a hose connected to a mask or tube worn by the patient . This constant stream of air opens and keeps the upper airway unobstructed during inhalation and exhalation. 2. Diabetic neuropathy pathogenesis  uncontrolled high blood sugar damages nerves and interferes with their ability to send signals , leading to diabetic neuropathy. High blood sugar also weakens the walls of the small blood vessels (capillaries) that supply the nerves with oxygen and nutrients. Learning points from my case discussion 1.how to check and what are the diagnostic criteria for obstructive sleep apnea  2.Various genetic inheritences like polygenic inheritance,autosomal dominant and xlinked dominant and if there is any genetic susceptibility of CAD in pat...
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