Posts

21 year old female

Image
  A 21 year old female     home maker by occupation came to the casualty with chief complaints of     fever since 4 days and vomitings since yesterday. History of present illness : patient was apparently asymptotic 4 days back then she developed  fever - high grade , a/w chills  Vomitings since yesterday, 2 episodes non bilious and subsided  Abdominal distension since 4 days  No h/o hematuria, Malena  No h/o chest pain , sob ,palpitations  Past history : No h/o HTN, DM, TB , Asthama  Personal history : Married  Appetite:normal  Diet :veg  B/B: regular /normal  No addictions  Family history : NAD  General examination: PICCLE :- ve  Temp :98.4•F PR:56bpm  RR:22/min  BP: 100/70mmhg  Spo2:98% GRBS:140mg% Systemic examination: CVS:s1,s2 +, murmurs -  Respiratory system: BAE+,NVBS - Abdomen : soft , non tender , bowel sounds + CNS:NAD  Provisional diagnosis : viral    Pyrexia with thrombocytopenia   ? Secondary to dengue with polyserositis  With 1st degree heart block ( ? 2• viral myocarditi
Post a Comment
Read more

July assessment

Image
  Question 1: Competency tested for Peer to peer review and assessment :  Please go through one student's entire answer paper from this link, the one who is closest to your own roll number : http://medicinedepartment. blogspot.com/2021/07/2019- batch-medicine-department- online.html?m=1 and share your peer review of each answer with your qualitative insights into what was good or bad about the answer. Peer to peer review considering the following blog  https://bhavanag39.blogspot.com/2021/07/general-medicine-assignment.html?m=1   Case -1 https://soumyanadella128eloggm.blogspot.com/2021/05/a-55-year-old-                                                    female-with-shortness-of.html In my opinion  As patient was having episodes of SOB she was put on BIPAP to increase Spo2 levels .      Patient was having electrolyte imbalance like hyponatremia hypokalemia hyperbilirubinemia  . This is because of usage of steroids and diuretics . Case 2: CASE:https://muskaangoyal.blogspot.com/2021/0
Post a Comment
Read more

June assessment

 June Assesment  VIRTUAL MEDICAL LOG BOOK OF ROLL NO .50 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. MONTHLY SUMMATIVE ASSESSMENT I have been given the following questions to answer in an attmept 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 diagnosis and come up with a treatment, to assess the quality of treatment given and to suggest improvisations.   Question 1: Competency tested for Peer to peer review and assessment : After going through one particular answer of ten students in this l https://g
Post a Comment
Read more
Image
  CASE SCENARIO: A 32 year old female presented to the OPD with dysphagia, significant weight loss, pedal oedema, SOB on exertion, blood in stool and pain during defecation. COMPLAINTS AND DURATION Dysphagia to solids since 4 months (grade-3) Weight loss of 15 kgs in 6 months  Pedal edema - relieved on medication outside hospital Shortness of breath on exertion Blood in stool , no malena  Pain during defecation  HISTORY OF PRESENT ILLNESS Patient apparently asymptomatic , developed dysphagia which gradually progressed and the patient is now reluctant to take food. HISTORY OF PAST ILLNESS Not a K/C/O HTN, DM, asthma, epilepsy Denovo detected hypothyroidism (started on 12.5 mg of thyronorm last month) H/o hearing loss since childhood (not evaluated) TREATMENT HISTORY No significant treatment history PERSONAL HISTORY Single Appetite - lost Bowels- regular Micturition -normal No known allergies No addictions FAMILY HISTORY No significant family history MENSTRUAL HISTORY Age of menarche - 1
Post a Comment
Read more