General medicine First internal assessment

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Hello all this is K.Rohit,a eighth semester student.This E Log depicts the patient centered approach to learning 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 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. 25 year female got married 8 years ago 2nd degree consagunious marraige  1st son -3 years after marrai...
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osce learning points

Dec 7 2023 OSCE questions 1. What are bronchial breathsounds how to differentiate it from vesicular breath sounds  I have learnt how to identify bronchial breath sounds clinically  Brochial breath sounds It is loud, hollow, and high pitch Expiratory phase is longer than inspiratory phase There is distinct pause between inspiration and expiration due to absent alveolar phase Vesicular breathsounds Soft, low pitched, and rustling in quality   a) Inspiratory phase remains  longer than the            expiratory phase    b)   Inspiration is higher pitch than expiration    c) No pause between inspiration and expiration What are crepitations? How they occur ? Crepitations are adventitious breath sounds.  Crepitations are made either by air passages and alveoli (air sacs) opening up during inspiration or by air bubbling through fluid. They are not normally heard in healthy lungs. During expiration alveoli stick...
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General medicine

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K.Rohit 3rd semester, This is an online e-log book to discuss our patient's de-identified health data shared after taking his/her/guardian's 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  is an ongoing case , and will be updated as and when the information is provided. This e-log has been made under the guidance of Dr.Harika. Date of admission-7/8/21 Case in brief- A 35 old female came to the casuality with cheif complaints of single episode of seizure attack since 2 hours Cheif complaints - • Seizure attack since 2days • fever (4 days)- low grade intermediate,relived with medication,not associated with chills and rigors. •Involuntary movents of right upoer limb  and lower limb HISTORY OF PRESENT ILLNESS: •Today morning patient had weakness of right ...
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