2nd Internal Assessment

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OSCE PRRFINAL

OSCE QUESTION:- How will the ventilator helps a pneumonia patient ? -Helps in opening alveoli  -Ventilators help pneumonia patients by providing support to their breathing.  -They deliver oxygen and help remove carbon dioxide from their lungs.  -It helps them breathe easier and allows their body to focus on fighting the infection. LEARNING POINTS:- 1) Once again got an opportunity to understand the art of case taking.  2) How to communicate with a geriatric age group patient. 3) Importance of adequate dose of drug administration ( MIDAZOLAM in this case) and effects of prescribing underdosage of midazolam 4) MIDAZOLAM - effect, adverse effects, therapeutic window.
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83 Year old male with Pneumonia

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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. 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. 83yr old male came with complaints of  shortness of breath since 10 days. chief  complaints:  cough since 16 days Fever since 14 days shortness of breath since 12 days History of Presenting illness: Patient was admitted to ICU 16 days back with  breathlessness. It was insidious in onset and g
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CKD CASE -Laxamma

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CASE SCENARIO A 90yr old female came to the Casuality with Chief complaints of Fever since 7 days HISTORY OF PRESENTING ILLNESS:- Patient was apparently asymptomatic 10 days back but then she had bilateral pedal edema pitting type with fever and chills  intermittent and no evening rise in temperature she also had decreased urine output and decreased appetite since 10 days she has vomiting 3episodes 5 days back  which was non bilious and non projectile containing food particles resolved after taking medication CHIEF COMPLAINTS -     Fever -10 days     Decreased appetite - 10 days      B/L pedal edema - 10 days      Decreased urine output -10 days       Vomiting- 5 days back PAST HISTORY:-                                                               No C/O - chest pain   H/O- Hypertension - 2yrs on medication                                                 Not a K/c/o Asthma,Epilepsy,Tb TREATMENT HISTORY:- Tab.Amlodipine5mg             + Tab.Atenolol 50 mg PERSONAL H
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