2nd Internal Assessment

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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 insid...
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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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EDEMMA - ACUTE PANCREATITIS

This is a case of a 35 year old female who is a wig maker and goes to part time work in paddy and cotton field’s presented to the Emergency department with acute history of:-  pain abdomen and vomiting’s since 4 days   decreased urine output since 2 days  swelling of legs since 1 day  HOPI:- Patient was apparently asymptomatic 4 days back but she developed Abdominal pain lower which is left hypochondriac and lumbar region and non-radiating with sudden in onset and gradually twisting type of pain  H/O vomiting present with 4 episodes in a day non-projectile , non-bilious , contains food particles that are aggregated on taking food H/o of Bleeding  H/o decreased urine output H/o of pedal edema which was gradual in onset nd progressive upto below knee   No H/o of Burning Micturition  No H/o PND and ORTHOPONEA  No H/o shortness of breath   No H/o chest pain  MARRIAGE & OBSTETRIC HISTORY:  Married at the age of 17...
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