General Medicine Internal Assessment

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Intern Online assessment - General Medicine

    During Unit duty  Case 1 https://151arushikimari.blogspot.com/2022/09/chief-complaints-complain-of-vomiting.html My Orientation around this case : 1. What might be the reason of his breathlessness?  Ans. May be due to binge of alcohol intake 2. What are his precipitating factor for breathlessness?  Ans. - H/o asthma since 3yrs          - allergy to dust          - binge alcohol intake  3. What are his systemic examination finding?  Ans. In Respiratory system examination, B/L rhochi present in Infra-axillary area.  4. Why Inj. Thiamine is usually given to chronic alcoholic?  Ans. To prevent Thiamine induced Wernick's Encephalopathy.  Case 2 https://151arushikimari.blogspot.com/2022/08/57-year-old-male-with-pain-in-right.html My orientation around this case  : 1. What is the mechanism of development of AKI in patient with NSAID abuse?  Ans. Reduced renal blood flow due to decr...
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This is an online Blog book to discuss our patients deidentified health data shared after taking his/ her guardians to sign an informed consent Here we discuss our patient problems through a series of inputs from the available Global online community of experts with n aim to solve those patient clinical problems with the current best evidence-based input This Blog also reflects my patient-centred online learning portfolio. Your valuable input 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 competence in reading and comprehending clinical data including history, clinical findings, investigations and come up with a diagnosis and treatment plan.  Name : Arushi kumari Roll no. 15  Chief complaints :  - complaint of neck pain radiating to both shoulder and hand since 2 months  - complaint of low back pain radiating to left leg since 2 months  HOPI: Patien...
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53 Year old male with SOB

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Arushi Kumari  Roll no. 15 Chief complaints: A 53 year old male ,labourer by occupation came with complaints of shortness of breath since 1 day and cough since 1 day HOPI : Patient was assymptomatic 2 years ago and then Developed neck pain for which he visited local hospital and was diagnosed as having hypertension and using T.Telmisartan 40mg+ T.Metapropol 50mg since then,and asymptomatic 7 days ago and then developed low grade fever and associated with chills and rigors for which they took the consultation and used injections (unknown)and his fever got subsided,and after that developed generalised weakness for which he was tested and was told to be having Typhoid positive and got treatment symptomatically for 4 days and then after 4 days ,his weakness got subsided and got his investigations done and tested positive for Dengue antibody(IgG positive)and since 23/08/2022 night developed dry cough and shortness of breath at rest,and brought here for further management Personal histor...
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