General medicine answer sheet

-

Popular posts from this blog

A 65 year old with fever, SOB

-
Image
This is an 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.                                                                                      With reference  https://mvineelarollno90.blogspot.com/2023/11/65-y-female-with-co-fever-since-4-days.html I have been given this case to solve in an attempt to understand the topic of "patient cl...
Read more

osce

-
Image
Thota Vaishnavi Roll no 133   Blog :  https://thotavaishnavielog.blogspot.com/2023/12/long-case.html OSCE  Question: How to prevent complications of Diabetes mellitus?  A healthy lifestyle is the key to prevent complications. - Follow a healthy eating plan  - physical activity for atleast 150min a week. - Get a regular HbA1C and aim to stay in your targets. - Aim to keep blood pressure 140/90mm Hg - stop smoking or don't start - lose weight if you are obese. - take medicines as indicated. - make regular appointments with health care team.  Reference:  https://www.cdc.gov/diabetes/library/features/prevent-complications.html Question: Diagnosis of COPD and OSA.  OSA   From history - snore - silence - sleep cycle The Epworth sleepiness scale Normal <9 Excessive daytime somnolence >9 The STOP BANG tool.  Snoring Tiredness Observed apnoeas Pressure Bodymass index Age> 50 Neck size > 41cm in women, > 43cm in male Gender - male L...
Read more

35 year old male with sob

-
Image
Name : Thota Vaishnavi Roll no : 133 CHIEF COMPLAINTS A 35 year old who is painter by occupation came with chief complaints of shortness of  breath and fever since 1 week.  HISTORY OF PRESENT ILLNESS  Patient was apparently asymptomatic 1 week back, then he developed  • shortness of breath on exertion, since 1 week. • high-grade fever since 1 week, more during night, relieved on medication and relapses back. • decreased urine output since 1 week • dragging type of pain in both legs and hands, associated with generalised weakness. • orthopnea and PND present since 4 days HISTORY OF PAST ILLNESS No history of DM, HTN, TB, Epilepsy, leprosy, CAD, CVN, Asthma or any other chronic illness. No history of previous transfusion.  PERSONAL HISTORY Built : Weakly nourished Appetite : Decreased since 1 week Diet : mixed Sleep : Decreased since 1 week  Bladder movements:  Anuria since 1 day associated with burning micturition. Bowel movements: regular Addictions : ...
Read more