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General medicine first internals.

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SHRUTHI ARUKONDA 02

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  GENERAL MEDICINE.   28 July ,2021.  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.          CASE REPORT  A 64 year old male with chief complaints of fever since 4 days, loose stools since 4 days , swelling of the left lower limb since a month and abdominal distension since one month .  CHEIF COMPLAINTS:  Fever since 4 days.  High grade a/w chills, decreases on medication.   Loose stools since 4 days a/w mucoid, small volume, watery consistency  Swelling of the left lower Limb since past one month  Abdominal distension since past one month   No h/o pain abdomen  No h/o blood and pus in stools.   HISTORY OF PRESENT ILLNESS:  Nothing significant  HISTORY OF PAST ILLNESS:  K/c/o bronchial asthma  De novo  detected DM ? TREATMENT HISTORY:...

SHRUTHI ARUKONDA 02

      GENERAL MEDICINE            SHRUTHI ARUKONDA 02 ( 3rd sem)          BIMONTHLY ASSIGNMENT- August  I have been given the following assignment in an attempt to read,  comprehend, analyze, reflect upon and discuss captured patient centered data This is the link of the questions asked regarding the cases: https://medicinedepartment.blogspot.com/2021/08/medicine-paper-for-aug-2021-bimonthly.html?m=1 Below are my answers to the Medicine Assignment based on my comprehension of the cases. QUESTION ONE :  Long case:  The history taking was exceptionally good  The exacerbating factors were very well depicted  The details of his joint pains has been explained well.  The general and systemic examination were very explicit.  The various differential diagnosis approach was very depicted along with proper explanations .  Short case:  The history of present illness was taken dow...

SHRUTHI ARUKONDA 02

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  GENERAL MEDICINE.   28 July ,2021.  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.              CASE REPORT  A 37 year old male with chief complaints of passing hard stools since 8 months.  CHIEF COMPLAINTS:  Passing of hard stools since 8 months  HISTORY OF PRESENT ILLNESS:  Patient was apparently asymptomatic until 15 years back, then he had an episode of pain abdomen and constipation.  The patient visited the local hospital and his symptoms were relieved and was normal until next 5 years  In 2010, he suddenly developed stools with watery consistency and were black in colour, 2-3 episodes per day which lasted for 8-10 days  He had alterations in bowel moments  He had loose stools and constipation. Whenever he passes stools, there are streaks of blood ...

SHRUTHI ARUKONDA 02

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  GENERAL MEDICINE.   28 July ,2021.  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.                      CASE SHEET  This is a case of 60 year old female (fruit and vegetable vendor) which chief complaints of giddiness,  right upper limb and lower limb weakness and slurring of speech.  CHEIF COMPLAINTS:   Giddiness and generalised weakness around 6pm in the evening  Right upper limb & lower limb weakness and slurring of speech around 8pm in the night  HISTORY OF PRESENT ILLNESS:  Patient was apparently a symptomatic till 6pm in the evening. She suddenly started developing giddiness, after which the patient was taken to the local RMP and found BP was 160/80 mmHg  She was prescribed T.amlong 5mg and BP was lowered to (systolic 130mmHg)...

SHRUTHI ARUKONDA 02

    GENERAL MEDICINE            SHRUTHI ARUKONDA 02 ( 3rd sem)          BIMONTHLY ASSIGNMENT- JULY   I have been given the following assignment in an attempt to read,  comprehend, analyze, reflect upon and discuss captured patient centered data This is the link of the questions asked regarding the cases: http://medicinedepartment.blogspot.com/2021/07/medicine-paper-for-july-2021-bimonthly.html Below are my answers to the Medicine Assignment based on my comprehension of the cases QUESTION ONE:  Peer to peer review  The link of the answer sheet which has been reviewed :  https://03saitarun.blogspot.com/2021/07/general-medicine-assignmnet-june-2021.html   1. PULMONOLOGY: Case review :  https://aniganikavya06.blogspot.com/2021/05/medicine-blended-assignment-may-2021.html Positives : a well explained symptomatology and the ethology has been highlighted.  Negatives : the answers to the ac...