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Showing posts from July, 2023

61YRS WITH K/C/O BRONCHIAL ASTHMA AND K/C/O CAD UNDERWENT S/P PTCA

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This is an online Elog book to discuss our patient deidentified health data shared after taking his/ her guardians signed informed consent. Here we discuss our individual patient problems through series of inputs from available Global online community of experts with an aim to solve the patients clinical problem with current best evidence 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 Chief complaints::   Patient came with c/o cough since 18months Shortness of breath since 1yr Chest tightness and epigastric pain since 1yr History of present illness:: Patient was apparently asymptomatic 18months back then he developed  cough insidious in onset gradually progressive,dry, diurnal v

General Medicine Internship Real Patient OSCEs towards optimizing clinical complexity

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Introduction:  This online E-log Entry Blog is an objectively structured clinical examination method to assess the clinical competence during the course of my General Medicine Internship rotation (June'2023-August'2023) by reviewing the case reports shared below and to discuss, understand and review the clinical scenarios and data analysis of patients so as to develop my clinical competency in comprehending clinical cases, and providing evidence-based inputs for questions surrounding the clinical vignettes borrowed from the E Log Book. Note:  The cases have been shared after taking consent from the patient/guardian. All names and other identifiers have been removed to secure and respect the privacy of the patient and the family. AMC CASE NO.1  PATIENT CAME TO OPD WITH C/O VOMITINGS SINCE 1WEEK YELLOWISH DISCOLOURATION Of EYES SINCE 1WEEK Detailed history :::: patient was a AUTODRIVER  by occupation works daily from 7am  to  9pm  developed . VOMITINGS SINCE 1WEEK YEL