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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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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57 YEAR OLD MALE WITH PAIN IN RIGHT LOIN AND FFROATHY URINE

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Name:ARUSHI  Internship 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 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.  A 57 year old male resident of narketpally came to the OPD with chief complaints of pain in the right loin , froathy urine ,fever and decreased appetite since 10 days. HOPI: Patient was apparently asymptomatic 10 days back then he had pain in the right loin region which is insidious in onset and gradually progressive not associated with nausea, vomiting and loose stools. H/o froathy urine, fever with chills and rigor and decreased appetite since 5 days. Altered...
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