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 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 sensi...
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General Medicine Bimonthly blended assessment August

  Note :  The following answers are solely my own interpretations and opinions on the recorded cases from my own observations. Please feel free to comment below, all constructive criticism and feedback is welcome.  QUESTION 1: Reviewing peer cases 1) Long case The presentation of history and the symptoms and the line of treatment was done good.  Orderly fashion of presenting the diseases and the related scientific studies have also been well written Pedagogic questions provide more insight into the issue 1.  Glomerulonephritis This is the acute problem. Symptom wise treatment is given in the patient, for example in this disease, the relation to heart failure and liver dysfunction are ruled out first, is presented well. 2. Polyarthritis This is the chronic problem, and inflammation is a characteristic with features like fever, weight loss and bilateral pain for a long time.  This case is also presented with 4 possible scenarios with their likely probabilit...
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