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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 patient 3.does weightloss h
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LONG CASE (elog medicine)

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This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome.                                                                                      With the reference of our senior https://mvineelarollno90.blogspot.com/2023/11/65-y-female-with-co-fever-since-4-days.html I have 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 diagnosis and treatment plan Chi
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2nd internal medicine answer sheet

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Gm case ( 80yrs male)

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  April 19, 2023 An 80 year old male came to OPD with chief complaints of   Bilateral knee joint pains since 2 years Sob since 6 months Indigestion on and off since 5 months  HOPI: Patient was apparently asymptomatic 2 years back then he developed bilateral knee joint pains not associated with any swelling,restriction of flexion movement.pain aggrevates during walking and relieved on taking rest and medication.not associated with fever  Then he developed SOB since 2 months which is of grade-2.It is not associated with cough(before dry cough) It is associated with pedal edema which is pitting type upto ankle.It is increasing while walking and relieved on elevation of limb and during rest. not associated with palpations,chest pain,sweating,fever Not associated with decreased urine output,burning micturition. Then he developed indigestion with burning sensation after food intake.relieved on taking medication. It is associated with abdominal discomfort,bloating(on and off). It is not assoc
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