General medicine 1st internals

 



































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GENERAL MEDICINE ASSESSMENT

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  I am  P. Sri Chandana, MBBS 3rd semester, Roll. No: 98.  QUESTION 1:           CASE 1: NEUROLOGY              https://143vibhahegde.blogspot.com/2021/05/wernickes-encephalopathy.html                       A 40 year old male with cheif complaints of irrelevant talking and decreased food intake.       - HISTORY:             • 2 - 3 episodes of seizures, 1 year ago and                4 months ago.             • Short term memory loss since 9 days.             • Type 2 diabetes since 2 years.             • No history of hypertension, CAD, TB,                Asthma.              • Alcoholic since 12 years, Smoker.      -INVESTIGATIONS:             • Chest X-Ray             • ECG report             • Blood picture             • Serum electrolytes              • LFT, RFT             • ABG             • 2D echo             • Ultrasound Abdomen             • Psychiatry Reference       -DIAGNOSIS:              1. Wernicke's encephalopathy secondary                   to chronic alcohol depe
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A 60 yr old housewife with h/o Hypocalcemia, Hypokalemia and renal stone complaining of developing nearsightedness

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   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 also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box is welcome. SRI CHANDANA  Roll no: 98 8th semester  The patient is a 60-year-old housewife. In 2013, she had an episode of probable stroke followed by nausea, vomiting, diarrhea, weakness, fatigue with loss of appetite, and insomnia. Her legs felt numb. She lost sensation around neck.  CHEIF COMPLAINTS: 14 days ago, when making lemon juice, some of it went in her rt. eyes. Due to irritation and burning sensation, also inability to see far objects clearly(nearsightedness) with rt.
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A 60 y/o female with SOB and cough

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This is an a 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.  CH
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