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Prefinal practical Osce and learning points

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Blog: https://146venkatameghanabadam.blogspot.com/2023/12/this-is-online-e-logbook-to-discuss-our.html   OSCE: 1.How do you differentiate between bronchial asthma and COPD? For Asthma: Variation in symptoms over hours ,days , minutes . Symptoms worse during the night and early morning,during cold Symptoms triggered by excercise,emotions induced by laughter, exposure to dust or allergens  Disease course is stable with exacerbations For COPD: Persistence of symptoms despite  treatment  Good and bad days but always daily symptoms and exertional dyspnea  Chronic cough with sputum unrelated to triggergens. Disease course progressive worsening .      2.What are the complications of diabetes? Acute complications   1.diabetic ketoacidosis 2.hypoglycemia 3.lactic acidosis Chronic complications 1.microvascular   Diabetic retinopathy   Diabetic neuropathy   Diabetic nephropathy 2.macrivascular    Coronary artery disease    Peripheral vascular disease    Cerebrovascular disease Others   Dermatolog
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Acute exacerbation of bronchial asthma with type 2 diabetes mellitus

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This is an online E logbook to discuss our patients' de-identified health data shared after taking his/her/guardian's signed informed consent.  Here we discuss our individual patient's problems through a series of inputs from the available global online community of experts intending to solve those patients' clinical problems with the collective current best evidence-based inputs.  This e-log book also reflects my patient-centered online learning portfolio and your valuable inputs.  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, and investigations, and come up with a diagnosis and treatment plan. This  is a case of 70 year old female resident of miryalaguda came with the  C hief Complaints: Shortness of breath since 2 months HOPI:    The patient was apparently asymptomatic 2 months back then
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MCTD

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This is an online e-log platform to discuss case scenarios of a patient with their guardian's permission.                                           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 treatment plan  Case scenario: A 35 yr old male who is tractor driver came to opd with cheif complaints of itchy skin lesions all over the body since 8 months History of presenting illness: Patient was apparently asymptomatic 8 months back, then he developed small papules over the chest after which it transformed into erythematous scaly plaques first on nose and cheek then over the entire face, neck, back, hands and legs.  H/o itching over the papules  H/o photosensitivity present (itching,burning sensation when exposed to sunlight)  C/o tenderness in wrist joint metacarpophal
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General Medicine First Internal Assessment

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CKD ON MUD

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22 Oct 2021 Venkata Meghana Badam Roll no -146 , 3rd sem  This is an online e-log platform to discuss case scenarios of a patient with their guardian's permission. 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 treatment plan.  CHIEF COMPLAINTS: The pt with 32 yr old male came to OPD with c/o pedal edema since 1 month and decreased urine output since 10 days k/c/o CKD on MUD HISTORY OF PRESENTING ILLNESS: The pt was apparently asymptomatic 1 month ago, he noticed pedal edema and decrease in UO since 10 days.  He is on dialysis since 8 months  He went to local hospital with increased BP and on examinations he was diagnosed with kidney disease.From then he is on dialysis   HISTORY OF PAST ILLNESS:  K/c/o HTN since 1yr TREATMENT HISTORY: He used tablet for hypertension s
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BIMONTHLY GENERAL MEDICINE ASSESSMENT

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Name - Venkata Meghana Badam Roll no - 146 3rd semester   QUESTION 1: LONG CASE:   This is primarily a case of Acute glomerulonephritis, likely due to Secondary Amyloidosis due to Chronic Poorly Treated Seronegative Erosive Rheumatoid Arthritis . The patient presented with bilateral, symmetric, pitting type of edema which was extending upto the middle of his leg. The patient also had chronic pain in the joints leading to restriction of movement since 2011. Upon previous hospital visits, the RA factor was negative. Therefore, the patient was prescribed analgesics and sent home. Chronic use of analgesic drugs was seen from 2011-2019, the details of which were undocumented. Hyperuricemia was also observed in one of his recent visits during last year and Febuxostat was prescribed as it has proven to be more effective than Allopurinol in recent studies. Anasarca was the chief complaint of this visit for which through testing and examinations were done. Liver and cardiac causes were ruled ou
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PERIPHERAL VERTIGO

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Venkata Meghana Badam 3rd sem, roll no -146 Under the guidance of Dr. Manasa( intern)  This is an online e-log platform to discuss case scenarios of a patient with their guardian's permission. 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 treatment plan. CASE SCENARIO: A 18 yr old female came to causality which chief complaints of giddiness HISTORY OF PRESENT ILLNESS: The patient was asymptomatic till 4 pm today . She had onset of giddiness not associated with nausea blackouts, blurring of vision, sweating, loss of consciousness, involuntary movements, headache, palpitations and chest pain.  Dizziness since 2 pm today not reliving with rest and food intake.  No history of vomitings, loose stools and loss of appetite.  Last menstruation 28/06/2021. HISTORY OF PAST ILL
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