internal assessment answer sheets

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General medicine elog

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​ E-LOG GENERAL MEDICINE Hi, This is Kundana , a fifth semester medical student. This is an e-LOG depicting patient's de-identified data centered approach for learning medicine. This log has been created after taking consent from  patient and his family. Here we discuss about patient's problems with a series of inputs with an aim to solve them  Chief complaints: High grade fever  generalized weakness History of presenting illness:  Patient is apparently from 2 days ago. Then he developed generalized weakness since 2 days, patient is unable to do his daily routine activities.                            he had history of giddiness since yesterday he developed fever which is high grade , intermittent , relieved on medication history of fall 2 times history of loss of  consciousness shortness of breath chest pain present palpitations present history of travelling under sun for 2 days   Daily ...
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 OSCE learning points Learnt how a 1 month long fever can reduce  because of delay in action of  treatment  Learnt how much a fever chart is important  Learnt how much daily routine is important in a patient case Learnt the importance of patient’s whole history Learnt about TAKOTSUBO CARDIOMYOPATHY  Figured out how stress effects humans health condition Reason for periorbital edema even after patient’s LFT, RFT  and CUE are normal  This is the first case i have seen with no alteration in the above investigations but having clinical signs
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   CASE STUDY By kundana kanumilli (3rd sem) A 40 year old male came to casualty CHIEF COMPLIANT seizure activity HISTORY OF PRESENT ILLNESS The patient was apparently asymptomatic 5-6 months back when he had 5 episodes of seizure -Focal [right sided] with secondary generalization which is associated with involuntary micturition for which he was taken to a local hospital and got treated symptomatically The patient was referred to one hospital for further treatment  Patient was brought to casualty in a state of altered sensorium GCS :E3 V4 M5 Patient has history of generalized weakness and body pains since 1 day there are no other complaints   PAST HISTORY No history of Diabetes mellitus                         Hypertension                         Coronary artery disease                       ...
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