Internal Assessment GM roll no. 97 P.V. Abhigna

-

 

















Comments

Post a Comment

Popular posts from this blog

26 year old male with Interstitial Pancreatitis

-
Image
 This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed 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 patients clinical problems with collective current based inputs. Patient is a 26 year old male, car driver by occupation came to the casualty at 1am with complaints of :   • pain abdomen since 1 day • 4-5 episodes of vomitings History of presenting illness Patient was aymptomatic 6 months back. Then he developed pain abdomen not associated with vomitings not admitted to PE hospital. Subsided on taking medication (augmentin, Tramadol)  Now today at 1am the patient developed pain abdomen sudden in onset and associated with  2 episodes of vomitings which were bilious.  Had similar complaints in the past around 12 years back.  History of past illness He was a k/c/o acut...
Read more

43 year old male with Alcoholic liver disease

-
Image
---------------- NOTE:  The following E-log aims at discussing our patient de-identified health data shared after taking the guardian's signed consent.  Here we discuss our individual patient problems through series of inputs from available global online community of experts with an aim to solve the patients clinical problem with current best evidence based input. This E-log also reflects my patient's centered online learning portfolio. 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 providing treatment best to our skills and wisdom.  ------------------ Patient is a 43 year old male, petrol pump operator by profession resident of narketpally.  Chief complaint:  Shortness of breath since 15 days  Abdominal distention since 15 days  5-6 epis...
Read more

OSCE QUESTIONS

-
 60 year old female who came with complaints of shortness of breath which were intermittent and increased since the last 2 months after clinical examination was diagnosed with acute exacerbation of bronchial asthma  1. Cardiac Asthma :  In a case which may present as intermittent shortness of breath can also be a case of cardiac asthma and clinical examination should be done to differentiate cardiac asthma from bronchial asthma Cardiac asthma is not a true form of asthma; it is a manifestation of congestive heart failure. It results from the accumulation of fluid in the lungs due to impaired cardiac function. The differentiating factor of bronchial asthma is it's intermittent nature.  2. Action of Biguanides:  3. Role of adipokines in Insulin resistance:  Adipose tissue acts as an endocrine organ to secrete 'adipokines' and works with the liver and brain to maintain an energy hemostasis.  These adipokines have varying effects—some exhibit anti-inflamma...
Read more