General medicine 1st internal Assessment

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A 21 year old female with anemia

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 patient problem through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evidence input. This E blog also reflect 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 attempts to understand the topic of patient clinical data analysis to develop my competency in reading and comprehending clinical data including history , clinical finding , investigation and come up with diagnosis and treatment plan CASE: 21 year old female came to gm op with chief complaints of easy fatiguability ,light headedness since 7 years  C/o sob since 7 years ( sometimes )  No c/o Fever, burning micturation,vomitings, loose stools  No c/o involuntary move
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PREFINAL OSCE LEARNING POINTS Dec 4th 2023

My blog link -https://140vanamounika.blogspot.com/ Osce questions :                                             1) Dialysis Disequilibrium syndrome?                  Dialysis disequilibrium syndrome (DDS) refers to an array of neurological manifestations seen during or following dialysis, primarily after the new initiation of dialysis.However, it can also be seen in chronic dialysis patients who miss their regular dialysis treatments. This syndrome is thought to arise from fluid shifts during hemodialysis, causing cerebral edema and a wide variety of neurological symptoms. In continuous renal replacement therapies (CRRT), where fluid shift is limited, dialysis disequilibrium syndrome is rarely reported. The common risk factors that predispose a patient to dialysis dysequilibrium syndrome are  First hemodialysis treatment High blood urea nitrogen (BUN) (above 175 mg/dL or 60 mmol/L) before initiation of dialysis Extremes of age – children and elderly Sudden change in dialysis regimen P
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A 60 year male CKD on maintenance hemodialysis

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A 60 year male CKD on maintenance hemodialysis with anemia of chronic disease with hypertension. December 03, 2023 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. 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 A 60 year old male, who is a resident of Nalgonda ,farmer by occupation came with    Chief complaints: -Pedal edema since 3 months -shortness of breath since 20 days - decreased 
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