General Medicine Internal Assessment - 1

 



























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A 60 y/o female with SOB and cough

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This is an a online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. This E blog also reflects my patient centered online learning portfolio and your valuable inputs 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 competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with diagnosis and treatment plan The patient/ attender was informed the purpose of the information being acquired. An informed consent was taken from patient/ attender and there is omission of information that was requested to be omitted.  CH
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MY EXPERIENCES WITH GENERAL CELLULAR AND NEURAL CELLULAR PATHOLOGY IN A CASE BASED BLENDED LEARNING ECOSYSTEM'S CBBLE "

 Welcome. My name is Aishwarya Muttamsetty, a final year medical student currently studying in the state of Telangana from India.  Through this blog, I would like to express my views on my experience with some of the cases I have taken. I have been truly fortunate enough to receive the help of my esteemed seniors under the guidance of Dr. Rakesh Biswas sir.   I have humbly tried to excavate as much information as I could from these cases. I will also have posted the link of the case and any relevant discussions for further understanding. NOTE: THIS IS AN ONLINE E LOGBOOK 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 A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS INTENDING TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT. Case :  https://89aishwaryamuttamsetty.blogspot.com/2022/09/35-yo-male
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My OSCE learning points

My case for the prefinal dated on 01/12/2023, is a 60 year old woman with chief complaints of shortness of breath and cough since 10 days. E-log link : https://89aishwaryamuttamsetty.blogspot.com/2023/11/a-75-yo-female-with-sob-and-cough.html OSCE learning points : 1) I have learnt the differential diagnosis between bronchial and cardiac asthma.  (Cardiac asthma - wheezing and sudden SOB associated with pink sputum, can never be able to do heavy work as before, associated with rales on auscultation. Occurs mainly due to left heart failure.) (Bronchial asthma shows only white mucus on coughing, SOB and only acute exacerbations occasionally, with associated wheezing. Occurs due to bronchospasm, inflammation of the airways and excessive mucus production. Easily resolvable.) 2) I have learnt how metabolic syndrome, diabetes mellitus and obesity can invariably cause bronchial asthma. 3) I have also learnt the various biomechanisms related to adipokines causing reduced insulin sensitivity in
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