GENERAL MEDICINE

 INTERNAL ASSESSMENT 

M.LAXMI SOWMYA

ROLL NO. 71

                  























































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GENERAL MEDICINE ASSESSMENT

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 NAME : M.LAXMI SOWMYA ROLL NO : 71 3rd Semester QUESTION 1  CASE 1 : PULMONOLOGY A 55 year old female with chief complaints of shortness of breath, pedal edema and facial puffiness https://soumyanadella128eloggm.blogspot.com/2021/05/a-55-year-old-female-with-shortness-of.html History of presenting illness ;  Patient had episodes of shortness of breath for the past 20 years,12 years ago she had another episode of SOB which lasted for 20 days and she had hospitalized and SOB decreased upon treatment at the hospital. 5 years ago she was treated for anemia with iron injection.She was diagnosed with hypertension 20 days ago,pedal edema since 15 days upto the level ankle and pitting type and facial puffiness since 15 days. PROVISIONAL DIAGNOSIS : ACUTE EXACERBATION OF COPD ASSOCIATED WITH RIGHT HEART FAILURE AND BRONCHIECTASIS    IN SEVERE COPD---OXYGEN CONCENTRATION IN THE BLOOD FALLS---PULMONARY HYPERTENSION---HIGH BLOOD PRESSURE IN THE PULMONARY ARTERIES PUTS EXCE...
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OSCE and LEARNING POINTS

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 OSCE Questions:  From psychiatric illness of patient First rank symptoms of schizophrenia  A = Auditary hallucinations second or third person B = Broadcasting, insertion/withdrawal of thoughts C = Controlled feelings , impulses or acts  D = Delusional perception • Symptoms of chronic schizophrenia Blunted effect Apathy and loss of drive Poverty of speech Poor self care    Differentiation between schizophrenia and substance misuse(alcohol)  running commentary voices i.e auditory hallucinations suggests schizophrenia Visual hallucinations are more common in alcohol misuse.   ( Reference: Davidson's Medicine ) Amount of alcohol  in an average drink LEARNING POINTS I have learnt causes of gastritis which include Helicobacter pylori (initial infection) Drugs : Aspirin, NSAIDS , Iron preparations Severe physiological stress such as burns, multi organ failure,  Bile reflux following gastric surgery Viral infections eg . CMV , Herpes simplex ##...
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A 31 year old male with chief complaints of vomiting

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 This is an 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.  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 The patient/ attender was informed the purpose of the information being acquired. An informed consent was taken from patient/ attender and there is omission of information that was requested to be omitted....
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