Posts

Prefinal OSCE and learning points

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1)What is a dialysis fistula bruit? During dialysis an AV fistula is created by connecting an artery to a vein under the skin, usually in the forearm and consists of a bruit, a thrill, and a good flow rate. The rumbling or swooshing sound of a dialysis fistula bruit is caused by the high-pressure flow of blood through the fistula. Although the bruit is usually heard with a stethoscope, it also can be felt on the overlying skin as a vibration, also referred to as a thrill.  As large amounts of blood move through AV fistulas at a rapid pace from high-pressure arteries into low-pressure veins, creating a constant murmur. 2)What is the possible level of spinal injury seen in the patient? While the muscle tone is reduced, the patient is still able to walk with difficulty. This may point to paralysis between L3 to S5. At this level, one can usually walk with or without braces or a walker. However bladder function may be affected as seen in the patient.  3) What could be cause of shortness of
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A 45 year old with shortness of breath, cough

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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 patient's clinical problems with collective current best evidence based inputs.  This E log book also reflects my patient centered online learning portfolio and your valuable comments 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 a diagnosis and prognosis A 45 year old male, labourer by occupation, came to the OPD with Chief complaint-     - Shortness of breath since 3 days    - Cough since 30 days    - Generalised body swelling since 20 days
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1st internals 2023

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Answers
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29 year old female with severe anemia

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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 patient's clinical problems with collective current best evidence based inputs.  This E log book also reflects my patient centered online learning portfolio and your valuable comments 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 a diagnosis and prognosis A 29 yr old female, resident of Nalgonda district came with Cheif complaint:  She  came to gynaecology OPD 4days ago for tubectomy and diagnosed with severe anemia and was referred to Genera
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40 year old male resident of Athmakur

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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 patient's clinical problems with collective current best evidence based inputs.  This E log book also reflects my patient centered online learning portfolio and your valuable comments 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 a diagnosis and prognosis A 56 year old Male resident of Akkireddy Gudam, milk vender by occupation was brought to casualty with chief complaints of : Pedal edema since 4 weeks. Dropping of neck since 3 days. Short
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62 year old female suffering from fever, cough, breathlessness

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  Note  : This is an online E Log book recorded to discuss and comprehend our patient's  de-identified health data shared, AFTER taking his/her/guardian's signed informed consent. Here, in this series of blogs, we discuss our various patients' 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 of course, your valuable inputs and feedbacks are most welcome through the comments box provided at the very end.  I have been given the following case to solve, in an attempt to understand  the concept of "Patient clinical analysis data" to develop my own competence in reading and comprehending clinical data, including Clinical history, Clinical findings,  Investigations and come up with the most compatible diagnosis and treatment plan tailored exclusiv
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