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CURRENT UNIT 6 PATIENTS SOAP UPDATES

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total 9 cases :  1 icu and 1 AMC  5 in ward  2 in superspeciality female ward patients  1) 45/f  S- no fresh complaints backache - subsided sob -  subsided fatiguability - subsided o- pr-84 bpm bp-110/80 mm hg cvs - s1,s2 + rs- nvbs + p/a - soft non tender a-  anemia under evaluation   ? IDA P- 1.TAB PANTOP 40MG PO/OD 2.INJ BUSCAPAN 1AMP /IV /SOS 3.PLAN FOR BLOOD TRANSFUSION 4. SYP CREMAFFIN 15ML PO/HS 2) 60/f  S: no fresh complaints . vomitings-subsided  loose stools-subsided  pain in abdomen- subsiding   O:  Dry tongue+.  Pallor+. Temp: afebrile PR :84 bpm BP:100/70 mmhg RR: 18cpm P/A: soft, tenderness noted in epigastric region. CVS: S1,S2  heard, no murmurs  RS: BAE+, NVBS heard. CNS: NAD. A-    Acute gastroenteritis.   P- 1.IV FLUIDS 2NS, 1 DNS, 1 RL @ 100ml/hr. 2.INJ. PANTOP 40 mg /po/OD.. 3. INJ.ZOFER 4 mg/IV/TID  4. TAB. SPOROLAC -DS PO/TID. 5. ORS SACHETS 1 PACKET IN 1 LITRE , 200ML AFTER EACH STOOL. 6 INJ. BUSCOPAN 1  IV /SOS 7. TAB. CIFLOX 500MG PO/BD 8. INJ. METROGYL 500 MG
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BI- MONTHLY ASSESSMENT FOR THE MONTH - FEBRUARY

BIMONTHLY ASSESSMENT FOR THE MONTH OF FEBRUARY  : This is my submission for the Bimonthly internal assessment for the month of February." The questions to the cases being discussed can be viewed from the link below  https://medicinedepartment.blogspot.com/2021/02/medicine-paper-for-february-2021.html?m=1 1Q.  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 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? This  case came to OPD on 10/2/21. Coming to the case, He was 50yr old who was diagnosed as diabetic  9 months back came with complaints of Frequently walking into objects along with fre
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67 year old man with dyspnea on exertion since 3 months

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Unit 3:  Interns: Dr. Kalyan Dr. Sreeja Dr. Archana Dr.Harsha Dr. Jeeharika Dr. Raveen  Dr. Aashita  Dr. Vamshi  Dr. Aravind  Dr. Manasa ICU PG Dr. Hareen SR Dr. Praveen Naik - Ass. Prof 67 year old man presented with the complaints of Dyspnea on exertion since 3 months Giddiness on and off since 1 month Patient works as a farmer at a local village. He is a father of 2 children. He has consumed alcohol mainly whiskey everyday the last 35 years. Since 1/2 an year, he has been only drinking whiskey on rare occasions. He also has been a cigarette Smoker for the last 35 years with around 20 cigarettes per day. He stopped smoking half year ago. On routine checkup, he was told to be a diabetic 18 years back and also was told to be a hypertensive 2 years back. Since then he has been using medications religiously. 2 years back, he started noticing blood in his stools on and off for which he visited our hospital, KIMS. He was diagnosed with anemia back then and also received 2 blood transfusion
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70 year old man with c/o irrelevant talks since 3 days , reduced urine output since 3 days

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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.  THIS IS THE CASE I HAVE SEEN - Unit 3:  Interns: Dr. Kalyan Dr. Sreeja Dr. Archana Dr.Harsha Dr. Jeeharika Dr. Raveen  Dr. Aashita  Dr. Vamshi  Dr. Aravind  Dr. Manasa ICU PG A 70 year old presented to the casaulty with the complaints of  Irrevalent talks since 3 days Reduced urine output since 3 days Fever and cough since 2 days Dyspnea at rest since morning  3 episodes of stools since morning  He works as a coolie at a local village along with his wife. He has 6 chi
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26 year old woman with c/o seizures since 5 days

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Unit 3: Interns: Dr Kalyan Dr Archana  Dr Sreeja Dr Harsha Vardhan Dr Sahiti Dr Jeeharika Dr Raveen - PGY1 Dr Aashitha - PGY2 Dr Aravind - PGY3 Dr Vamshi - PGY3 Dr Hareen - SR Dr Praveen Naik - Ass Prof Dr Rakesh Biswas - HOD UNIT 3  INTRODUCTION- This is an interesting case of a 21 year old woman with acute recurrent episodes of seizures presenting to us since 4 days with a history of recurrent  seizures since she was 15 years of age. MRI brain revealed that granulomatous lesion in right temporal region. Further evaluation revealed a history of anxiety and depression. CASE HISTORY- 26 year old woman  who is unmarried came with c/o involuntary movements of both upper limb and lower limb since 5 days ,drooling of saliva present  uprolling of eyeballs + No h/o urinary incontinence,  no h/o tongue bite Patient earlier recalled events dates back when she was 12 years old presented with GTCS (no documentation) She was having on and off seizure episodes and did not subside for 2 years, she v
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