General Medicine Internal assessment

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42 yr old male

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This 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 patient's clinical problems with collective current best evidence based inputs.  This E log book also reflects my patient centered online learning portfolio and your valuable comments 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 a diagnosis and prognosis A 42 year old male resident of Nerada,chityala mandal farmer by occupation came to the OPD with the chief complaints of  CHIEF COMPLAINTS: Chest pain since 3 days Vomitings since 3 days. Lo...
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Pre final OSCE and learning points

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OSCE questions : What is pathogenesis of acute pancreatitis ? Causes : - Gallstones                 - Alcohol                 - Idiopathic                 - post-ERCP                 - Trauma                 - Drugs(azothioprine,thiazide                                         diuretics,sodium                                                                valproate)                 - sphincter of oddi dysfunction                 - scropion string ...
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General Medicine case

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This is an online e-log platform to discuss case scenario of a patient with their guardians 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 histoty, clinical findings, investigations and come up with a diagnosis and treatment plan. CASE: A 61 year old female who is resident of narketpally, came to OPD on 21st november at 12am with Chief complaints of:  - stiffness of muscles of hands and neck  - slurred speech - deviation of mouth towards right. History of present illness: Patient was apparently asymptomatic 10yrs back and then she developed faintness, numbness and tingling sensation, burning sensation of hands and foot espcially during night and was diagnosed with Diabetes Mellitus for which she is on medication. 8months back she developed neck pain, headache, leg pain, body pains and was diagnosed with Hypertension for w...
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