General medicine 1 st internals answer sheet

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GM CASE

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T.gowthami Roll no:132(3rd sem) Below is an E-log describing patient centered data approach and discussion regarding patient de- identified health data. CASE (1) A 60-year-old man presented to the casualty with chief complaints of fever and giddiness since 3 days. HISTORY OF PRESENT ILLNESS: ✓ Patient was apparently symptomatic 3 days back. ✓He developed fever which is sudden in onset , continuous and not associated with chills and rigor. ✓No diurnal variations. ✓C/O loss of taste ✓No C/O cold,cough ✓No C/O abdominal pain,nausea,loose stools, vomitings. ✓No C/O burning micturition, decreased urine output, pedal edema,facial  puffiness. ✓No C/O chest pain, palpitations, syncopal attacks . ✓No C/O SOB,orthopnea,PND. HISTORY OF PAST  ILLNESS: ✓Not a known case of  HTN,DM,CAD,CVA ✓Not a known case of epilepsy,TB, asthma, Thyroid disorders. PERSONAL HISTORY: ✓Diet-mixed ✓Appetite- decreased ✓Sleep-adequate ✓Bowel and bladder habits -regular. ✓Addictions-consumes toddy occasion...
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GEN MED 20 Y MALE WITH INVOLUNTARY UL AND LL (SEIZURES)

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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. 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.  20 year old male with involuntary upper and lower limb(seizures) CHIEF COMPLAINTS: 4 to 5 episodes of involuntary movements of upper and lower limbs (seizures)from 4 am in the morning (19/07/23) 2 to 3 minutes...
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OSCE questions

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T.gowthami  Roll no 132 Case :  https://132gowthami.blogspot.com/2023/12/long-case.html PREFINAL EXAMINATION-OSCE QUESTIONS   Question 1:How to prevent the complications of diabetes ?  Reference:  https://www.cdc.gov/diabetes/library/features/prevent-complications.html Follow a  healthy eating plan . Be  physically active  for at least 150 minutes a week (just 30 minutes, 5 days a week). Manage your ABCs: A:  Get a regular  A 1C test to measure your average blood sugar over 2 to 3 months; aim to stay in your target range as much as possible. B:  Try to keep your  b lood pressure below 140/90 mm Hg (or the target your doctor sets). C:  Control your  c holesterol  levels. s:  Stop  s moking  or don’t start. Lose weight if you’re overweight—just a 5% to 7% weight loss lowers the risk for complications. That’s 10 to 14 pounds for someone who weighs 200 pounds. Take medicines as instructed, and tal...
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