General medicine 1st internal Assessment

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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 Hi...
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A 63 year old male farmer by occupation who is a resident of Suryapet

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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 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. 65 year old male farmer from Suryapet came with-  Chief complaints of-  1. Fever since 13 days  2. Left upper limb paralysis since 10 days  3. Decreased urine output since 10 days History of presenting illnes...
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Vana Mounika 3rd sem, roll no 140 This is an online e-log platform to discuss case scenarios of a patient with their guardian's permission. 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 a diagnosis and treatment plan. CASE SCENARIO : A 63 year old patient came to casuality with chief complaints of shortness of breath since 3 days, fever intermittent in nature associated with chills . HISTORY OF PRESENT ILLNESS: Patient was asymptomatic 15 days back when he developed fever and generalised weakness, patient experienced SOB since 3 days . Outside HRCT - 11/ 25 HISTORY OF PAST ILLNESS: N/K/C/O - HTN and DM TREATMENT HISTORY : No usage of drug as now  PERSONAL HISTORY: Married  OCCUPATION - Farmer  Appetite - Normal  Non vegetarian Bowels - Regular Micturition - normal No ...
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