General medicine internal assessment


 

















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CNS case

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PRELIMINARY DETAILS  Name : Ramulamma Age: 67 Sex: female Occupation: Daily wage worker 15 yrs back Address: motkur Chief complaints Giddiness since 1 week History of present illness Patient was apparently asymptomatic  1 week ago then she developed giddiness which was sudden onset History of 3 episodes in 1 week Each last for 1 or 2 mins then she recovers completely In the last episode while drinking water she fell down and got injured and treated and came to hospital No history of tinnitus, hearing loss, Vomiting, headach, ear pain, fever. Her conditions relieved on sitting Past history Known case of seizures of GTCS variety Known case of meningioma 12 yrs back No history of DM , HTN , TB, Asthama Personal history Diet- mixed Sleep- adequate Appetite - decreased Regular bowel and bladder moments No addictions Surgical history Fracture in left limb GENERAL EXAMINATION  Patient was conscious and coherent Cooperative Built - moderate Nourishment - moderately nourished Pall...
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A 76 year old female with pedal edema

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  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 patient's clinical problems with collective current best evidence based inputs.  This E log book also reflects my patient centered online learning portfolio and your valuable comments on comment box is welcome. I've 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 prognosis A 76 year old female came to the general medicine OPD with CHIEF COMPLAINTS   Pedal edema since 4 days Shortness of breath since 4 days HISTORY OF PRESENT ILLNESS   Patient is apparently a...
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OSCE

  1)Which is more common ¹) CKD causing hypertension ²) hypertension causing CKD ANS AS PER DATA  GLOBAL BURDEN OF HYPERTENSION ON POPULATION IS 30% i.e., 1.3 billions  GLOBAL BURDEN OF CKD ON POPULATION IS 13.4% Severe hypertension causes vascular damage, tubular damage So this causes chronic kidney disease  As per data hypertension causing CKD IS more common 2) at what levels of urea and creatinine diuretics won't work and dialysis is recommended Ans) Urea levels-35.7mmol/litre Creatinine levels- 29%  As kidneys are severely damaged the urine cannot be excreted so there is no use in taking diuretics for edema so then dialysis is recommended.
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