General Medicine Internal Assessment

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70 YEAR OLD MALE WITH ALTERED SENSORIUM

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CHIEF COMPLAINTS : - complain of vomiting at 4:00 p. m on 29/09/22 - complain of BREATHLESSNESS since then  - complain of unresponsiveness @7:00 p. m on 28/09/22  HOPI : A 70 yeal old man was brought to the casuality with complaint of an episode of vomiting at 4:00 p.m on 28/09/22, which was non-projectile, non bilious, non blood stained with food particle as content.  - After which from 7:00 p. m he started getting breathlessness associated with which was not associated with chest pain, palpitation, PND, orthopnoeaorthopnoea.  - No history of fever / cough/ seizure like activity / cold / burning micturition / chest pain / abdominal pain / decreased urine output / head injury.  PAST HISTORY  - K/c/o HTN since 2 years and on treatment  - k/c/o Asthma since 3 years and on treatment  - no other comorbidities  PERSONAL HISTORY : Diet: mixed  Appetite: normal Bowel and bladder movement : regular  Allergies : to dust  Addiction : Alc...
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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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Final Practical Short Case

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Final Practical Short case  Arushi kumari Roll no. 151  Hall ticket no. 1701006012 Mbbs 9th Sem 07/06/2022 This is 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 best evidence based inputs. This e-log book also reflects my patient centered online learning portfolio and your valuable inputs 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 diagnosis and treatment plan. 71 year old male with breathlessness Chief complaints- A 71 year old male ,Mason by occupation came to th...
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