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General Medicine BIMONTHLY EXAM 2 March 2021...

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bimonthly examination - march 1) Please go through the patient data in the links below and answer the following questions: https://ashakiran923.blogspot.com/2021/03/60-years-old-male-fever-under-evaluation.html?m=1 a). What is the problem representation of this patient and what is the anatomical localization for his current problem based on the clinical findings?How specific is his dilated superficial Abdominal vein in making diagnosis? -Based on the clinical symptoms and signs, the clinical diagnosis of the patient can be-  UTI with cirrhosis of liver with portal hypertension.  b) What is the etiology of the current problem and how would you as a member of the treating team arrive at a diagnosis? What is the cause of his hypoalbuminemia?Why is the SAAG low? -The etiology of the disease in this patient could be a chronic history of alcoholism. Chronic smoking leading to his apthous ulcers.  Based on his clinical finding there could be portal hypertension which could have been preceeded
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60yr old male with Cholelithiasis with AKI on CKD with k/c/o type 2 Diabetes mellitus with hypertensive urgency..

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This is an online E log book to discuss our patients deidentified 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 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 the comment box is welcome. Here is a case I have seen Unit 4 admission on 5/3/21 Dr Supriya Dr Mohitha Dr Sowmya Dr Amrutha  Dr Sanjay Dr DurgaKrishna PGY1  Dr Ajith Kumar PGY2 Dr Laxma Reddy PGY3  Dr Manasa PGY3  Dr Vijayalaxmi Asst. prof. 60 yr old male presented on 5/3/21 to casualty with  C/o pain in the right hypochondrium from 3 days C/o decreased urine output from 1 day C/o vomitings from today morning Patient was apparently asymptomatic 3 days ago then he developed pain in the right hypochondrium which was coli
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A 55yr old female with Acute Gastritis with type 2 Diabetes mellitus..

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This is an online E log book to discuss our patients deidentified 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 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 the comment box is welcome. Here is a case I have seen Unit 4 Admission Interns Amrutha Supriya Sowmya Sanjay Mohitha Dr.Durga krishna Pg1 Dr.Ajith pg2 Dr.laxma pg3 Dr.Manasa pg4 Dr.vijayalaxmi Ast pro A 55yr old female came with c/o fever since 7 days intermittent a/w chills and rigors & not relievied on medication Neck pain, Vomitings 2 episodes Pt was apparently asymptomatic 7 days back,then developed fever associated with chills and rigors and also developed  neck pain during the attack of fever.. She also devel
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A 35 year old male with Acute Gastroenteritis..

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This is an online E log book to discuss our patients deidentified 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 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 the comment box is welcome. Here is a case I have seen Unit 4 Admission Interns Amrutha Supriya Sowmya Sanjay Mohitha Dr.Durga krishna Pg1 Dr.Ajith pg2 Dr.laxma pg3 Dr.Manasa pg4 Dr.vijayalaxmi Ast pro A 35 yr old male came with c/o loose stools since 3 days & syncopal attack 1 episode 6hours back & vomiting 1 episode Pt was apparently normal 3 days back,then developed loose stools daily upto 3-4 episodes, which was subsided in 3 days followed which the patient was normal up to 10 hours,again started developing
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BIMONTHLY ASSESSMENT FOR FEBRUARY.

This is my submission for the Bimonthly internal assessment for the month of February ." Most of the information here have been collected from different reference sites, links to which have been mentioned.The points copy pasted have been put in quotes. The questions to the cases being discussed are from the link below: https://medicinedepartment.blogspot.com/2021/02/medicine-paper-for-february-2021.html?m=0 50 year man, he presented with the complaints of Frequently walking into objects along with frequent falls since 1.5 years Drooping of eyelids since 1.5 years Involuntary movements of hands since 1.5 years  Talking to self since 1.5 years  More here: https://archanareddy07.blogspot.com/2021/02/50m-with-parkinsonism.html?m=1 Case presentation links:  https://youtu.be/kMrD662wRIQ a). What is the problem representation of this patient and what is the anatomical localization for his current problem based on the clinical findings? problem presentation: drooping of eyelids since 8 to
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