General medicine 1st internal examination

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A 20 year female with pedal edema and decrease bowel & bladder movements

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This is an online E - log book to discuss our patients 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 portfolio and your valuable inputs on the comment box. 28/9/2022 A 20 year female came with chief complaints of : B/L pedal edema extending till the knees since 20 days Abdominal distension since 8 days Decreased bowel and bladder movements, decreased appetite, decreased width of opening mouth & intensity of sound, throat pain since 3 days History of presenting illness: Patient was apparently asymptomatic 1 month back 1 month ago she developed pedal edema grade 3 (upto knees) and burning pain on sole B/L She went to local RMP for which she got treated and ...
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A 29 year male with chronic kidney disease secondary to NSAID abuse

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This is 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 patients clinical problems with collective current best evidence based inputs. This e-log book also reflects my patient centered online learning portfolio and your valuable inputs  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 diagnosis and treatment plan A 29 year male agricultural coordinator by occupation came to opd with chief complaints of  Bilateral pain in lower limbs upto knee since 20 days HOPI Patient was apparently asymptomatic 3 years ago then developed...
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90 Mutyapu Raghavendra

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Medicine Department Bimonthly Blended Assessment - June 2021 This is the link to assignment/question paper :- https://medicinedepartment.blogspot.com/2021/06/medicine-department-paper-for-june-2021.html?m=1 I have been given the following assessment in the theme of “scholarship of integration in medical education and research” which is a tool to facilitate connections between different systems or disciplines of “knowledge” or learning in healthcare. Question 1 :- 1. Pulmonology:- Review of :- https://caseopinionsbyrollno05.blogspot.com/2021/05/medicine-blended-assignment-may-2021.htm This is a case of acute exacerbation of COPD associated with right heart failure and bronchiectasis. The evolution of the symptomatology in this patient in terms of an event timeline is depicted well in a picture which is very easy to comprehend. I personally believe that a picture can depict more than a thousand words. The localisation of the problem along with its aetiology is addressed. Various mechanis...
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