General Medicine First Internal Assessment

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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   ...
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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 ba...
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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 ph...
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