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July assessment 2021

JULY ASSESSMENT Question 1 Case-1 Question 1: Competency tested for Peer to peer review and assessment :  Please go through one student's entire answer paper from this link, the one who is closest to your own roll number : http://medicinedepartment. blogspot.com/2021/07/2019- batch-medicine-department- online.html?m=1 and share your peer review of each answer with your qualitative insights into what was good or bad about the answer.  https://aksharakruthi.blogspot.com/2021/07/bimonthly-blended-assessment-for-june.html 1.case : https://amishajaiswal03eloggm.blogspot.com/ question : 1) What is the evolution of the symptomatology in this patient in terms of an event timeline and where is the anatomical localization for the problem and what is the primary etiology of the patient's problem? Review:I agree with the diagnosis because the patient works in paddy fields so he is affected with the allergens in the paddy field .The flow chart answered in this question is appropriate and g...

A 22yr female with CKD ON MHD

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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 inputs on the comment box is welcome." History was given by the parents and patient. History and HOPI: (History started 5months back- from October 2020)   A 22 year female, resident of nellagudam(1hr from miryalaguda) who is a student by occupation finished her degree in MPC( maths,physics and chemistry) and being interested in physics ,she wanted to pursue her Post graduation from Physics ,and was preparing for PG admission exam. 5 days before the exam, she started experiencing heavy menst...

General medicine Bimontly exam 2 MARCH 2021

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General medicine Bimontly exam 2 MARCH 2021 March 21, 2021 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 f...

33 Year old female with recurrent oral ulcers.

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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 inputs on the comment box is welcome." History given patient daughter as patient was unable to speak  A 33 year old female who is a house wife by occupation came with the complaints of recurrent oral erosions since 10 months.and lesions over the abdomen and back since 10 months  HOPI : patient was apparently normal 10 months back, followed which one day  patient was travelling in an auto , suddenly slipped and fell down from the auto ..pt had injury to the left ear and used medication (analgesics...

Bimonthly assessment ( February)

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Questions: 1)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  https://archanareddy07.blogspot.com/2021/02/50m-with-parkinsonism.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? A)chronic smoker and  tobacco chewer H/o left lower limb fracture 2 years back Started 15 years ago, initially chewed 1 or 2 packs/day & gradually increased to 3-4/day and even 5-7 on a few days. Abruptly stopped consuming both alcohol & khaini after the RTA in June, 2018. Son has offered khaini several times after, but the patient was very reluctant eversince. Now presenting complaints are frequently walking into objects along with frequent falls since, Drooping of eyelids(progressing as the d...

60yr female with shortness of breath

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A 60yr female who was farmer by occupation came with the complaints of Shortness of breath since 1o clock in the night .. HOPI: pt was apparently asymptomatic since 1  o clock in the night ..then started developing sudden onset breathlessness in the night which was grade 4 , progressive .pt was taken to the local RMP ,found to have high BP levels and took some medication and came to KIMS for further evaluation. Past history: K/C/O DM and HTN  since 10 years . Persoal history: PICKLE : negative.   General examination : Pt conscious but irritable . Vitals : BP : 180/90 mmHg             PR: 140bpm             CVS: S1S2 +              RS: BAE + , Coarse crepts in all areas.             P/A: Soft.            GRBS: 256mg/dl Investigations: Diagnosis: INFERIOR WALL NSTEMI with CARDIAC ASTHMA...