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Self assessment

 K.pavan  ROLLNO. 77 Did sleep study in my UG , learned how respiration (spo2) changes accordingly with sleep .Thus awoken my interest in medicine. And started asking how ? Why? For everything  During UNIT duties  https://167pavankotha.blogspot.com/2023/04/45f-with-bl-knee-pains.html  1) what is the cause for her morning stiffness  2)  is occupation the reason for her symptoms? 3) what is the preventive aspect of such disease? https://167pavankotha.blogspot.com/2023/03/this-is-online-e-log-book-to-discuss.html 1) what is the cause for his ascites ? 2) can his lifestyle be one of the cause for his condition ? https://167pavankotha.blogspot.com/2023/03/67m-dementia-with-headache.html 1) what are the differentials for unilateral head aches ? 2) what is the cause for his unilateral headache? https://167pavankotha.blogspot.com/2023/04/chief-compliants-vomitings-since.html 1) how do you confirm that his symptoms are due to the consumption of an unknown compo...
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COVID CASE REPORT LOGS FOR MAY 2021

  1) Covid 19 with co morbidity (Pulmonology/Rheumatology) https://nikhilasampathkumar. blogspot.com/2021/05/covid- pneumonia-in-pre-existing- case-of.html Q1) How does the pre-existing ILD determine the prognosis of this patient?  In patients with preexisting ILD, COVID-19 infection has led to acute exacerbation of underlying ILD.  The criteria for ILD exacerbation include: 1) subacute worsening of dyspnea  2) hypoxemia  3)new pulmonary infiltrates on imaging   4)absence of pulmonary emboli 5)cardiac failure 6) other non-pulmonary causes Thus it leads to a poor prognosis Q2) Given the history of autoimmune disease in the patient, how does the administration of steroids for COVID affect her RA and hypothyroidism?  Corticosteroids  manages the  disease flares and for initial treatment of RA  glucocorticoids are significant risk factor for bacterial infections.  Glucocorticoid use doubled the rate of serious bacterial infections ...
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General medicine final practical short case

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" 50 year old male, farmer by occupation,  came to Medicine OPD with complaints of :  * Distended abdomen since 7 days  * Pain abdomen since 7 days * Pedal edema since 5 days  * Breathlessness since 4 days. * Decreased micturition since 2 days. HISTORY OF PRESENT ILLNESS:  The patient was apparently asymptomatic 6 months ago when he developed jaundice and was treated at a private practitioner. Later he developed abdominal distension about 7 days ago - insidious in onset, gradu...
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