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Learning points and OSCE (prefinal)

 This blog is about my learning points in the long case discussion and OSCE of prefinal exams LEARNING POINTS: -how to differentiate clinically between viral and bacterial infection for certain extent. -how to measure postural hypertension  -how to check dehydration signs and symptoms -What complications can we see in severe dengue cases . -viral infection with joint pains is caused by chicken gunya  OSCE: Increase of mortality rate  is seen in dengue cases along with COVID in Bangladesh   National Institutes of Health (.gov) https://www.ncbi.nlm.nih.gov › pmc The Dengue Prevalence and Mortality Rate Surpass COVID-19 in ... https://www.google.com/url?sa=t&source=web&rct=j&opi=89978449&url=https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10291213/&ved=2ahUKEwjSibXs7fKCAxVEwzgGHRU8BwIQFnoECBMQAQ&usg=AOvVaw3cX5Wq6XLBj1as0UvMtimM Study on dengue mortality rate in India if untreated  https://www.google.com/url?sa=t&source=web&rct=j&opi=89978449&url=https:

25 yr old female patient

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  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 clinical problems with collective current best evidence based inputs 25 yr old female patient resident of miryalguda,housewife by occupation came to OPD with chief complaints of fever since 5 days and giddiness since 5 days. History of presenting illness: Patient was apparently asymptomatic 5 days back the she developed fever  which is sudden in onset, continuous ,high grade fever, associated with chills and rigors relieved on medication . Fever is associated with headache,retro orbital pain. History of generalized weakness, body pains. H istory of nausea and vomitings(non bilious) 3 to 4 times a day projectile History of cough (non productive) History of abdominal pain, burning mi

70 yr old male with foot ulcer

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  70 Year old man with foot ulcer 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 Elog also reflects my patient centered online learning portfolio. CHIEF COMPLAINTS : Our patient came with complaints of wound on Right foot since 2 years , fever since 1 day. HISTORY OF PRESENTING ILLNESS:  Patient was apparently asymptomatic 2 years back when he gives history of trauma to right foot resulting in trauma ( thorn pricking on the sole of the right foot ) , that wound was not healing, since then there is ulcer on his right sole. Patient has pain in his right foot, A/w pins and needles; tingling and numbness in both upper and lower limb. Patient is having fever since 1

76 year old male with pedal edema and diabetes mellitus since 15 years

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  76YEAR OLD MALE WITH PEDAL EDEMA AND DIABETES MELLITUS SINCE 15 YEARS July 31, 2023 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 Elog also reflects my patient centered online learning portfolio. 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 a diagnosis and treatment plan. 76 year old male farmer by occupation came with chief complaints of  Pedal edema since 20 days History of present illness  Patient was apparently normal  15 years ago he sustained an injury
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 57 YEAR OLD WAS PRESENTED RO OPD WITH YELLOW ISH DISCOLORATION OF SKIN,CONJUNTIVA, ABDOMINAL PAIN. July 28, 2023 This is an online e log book to discuss our patient health data shared after taking his/her/guardians singned informed consent. Here we discuss our individual patients problems with an aim to solve the patient’s clinical problem with collective current best evident based input. This E blog also reflects my patient cantered 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. This is a case of 57 year old female , housewife staying in Mathavanga , West Bengal. CHIEF COMPLAINTS: - pain in abdomen( since 3 1/2 months {mild} , 2months {progressed} )  - tingling pain in the abd

60 yr old female

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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 CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT        60yr old female came with complaints of fever since 10 days  -productive cough since 10 days -vomitings since 10days HOPI - Patient was aparently asymptomatic 10 days back.She then developed fever low grade,intermittent ,not associated with chills and rigors ,relieved on medications C/o cough with expectoration since 10 days ,whitish mucoid sputum not blood tinged C/o nausea and vomitings since 10days 2- 3 episodes per day which is watery ,non projectile ,non blood tinged with food particles as contents C/o constipation and decreased appetite since 10 days C/o pain in the back while coughing  No H/O B

II INTERNAL ANSWER SHEETS

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