1st internal exam (11-03-2022)

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A 76YR OLD MALE DIAGNOSED WITH IRON DEFICIENCY ANEMIA

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A 76YR OLA MALE OF: Diagnosis: SEVERE IRON DEFICIENCY ANEMIA HEART FAILURE ( EF - 57%) ACUTE GASTROENTERITIS ( RESOLVED) SLIDING HIATUS HERNIA, GERD  Case History and Clinical Findings : A 77 YEAR OLD MALE PRESENTED TO THE CASUALITY AND PRESENTED WITH THE COMPLAINTS OF VOMITINGS , LOOSE STOOLS AND GENERALIZED WEAKNESS SINCE ONE DAY. THE PATIENT WAS EVALUATED CLINICALLY AND WITH APPROPRIATE INVESTIGATIONS WAS PROVISIONALLY DIAGNAOSED WITH SEVERE IRON DEFICIENCY ANEMIA WITH HEART FAILURE ( EF - 57%) HEART FAILURE ( EF - 57%)ACUTE GASTROENTERITIS ( RESOLVED),SLIDING HIATUS HERNIA, GERD. THE PT WAS STARTED ON CONSERVATIVE MANAGEMENT ( IV FLUIDS NS/RL @ 100ML/HR , INJ CEFTRIAXONE 1 GM IV/BD ( 8 AM-8 PM) INJ PAN 40MG IV/TID ( 7AM-2PM-8PM) , INJ ENESET 8MG IV/TID ( 8AM-2PM-8PM) TAB ROSUVASTATIN 20MG H/S (9 PM) TAB ECOSPRIN 75MG PO/OD (8 AM), TAB CLOPRIDOGREL 75MG PO/OD ( 2 PM) , TAB PROLOMET 25 MG PO/OD ( 8AM) TAB BISACODYL 5MG (8PM 2 TABS) INJ IRON SUCROSE 200MG IN 100ML NS IV/OD , SYP G...
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Gm online assessment

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This is an online elog documenting de-identified patient health data after taking his signed consent to enforce a greater patient centered learning.  The privacy of the patient is being entirely conserved. No identifiers shall be revealed through out the piece of work whatsoever. CASE DISCUSSION : A 65 yr old female coming from Rajavaram ,was brought to the casualty with   CHIEF COMPLAINTS of: Difficulty in moving left upper limbs and lower limbs since 3 days. Weakness in right and left upper limbs and lower limbs since 3 days Inability to speak since 3 days. HOPI Patient was apparently asymptomatic 3 days back she developed weakness in Saturday in left upper and lower limbs which was sudden in onset , gradually progressed and is completely unable to move since 3 days. She is also unable to speak due to deviation of mouth later that day Next day ,the weakness of both limbs of left side became severe and completely lost her speech and not responding to commands. She lost her co...
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OSCE AND LEARNING POINTS. 5/12/23 prefinals

OSCE AND LEARNING POINTS OF A CASE OF CEREBRO VASCULAR ACCIDENT. 5/12/23 OSCE: 1.𝐖𝐡𝐚𝐭 𝐚𝐫𝐞 𝐭𝐡𝐞 𝐬𝐞𝐧𝐬𝐨𝐫𝐲 𝐚𝐧𝐝 𝐦𝐨𝐭𝐨𝐫 𝐚𝐫𝐞𝐚𝐬 𝐬𝐮𝐩𝐥𝐥𝐢𝐞𝐝 𝐛𝐲 𝐌𝐂𝐀 𝐚𝐧𝐝 𝐰𝐡𝐢𝐜𝐡 𝐚𝐫𝐞 𝐚𝐟𝐟𝐞𝐜𝐭𝐞𝐝 𝐢𝐧 𝐭𝐡𝐢𝐬 𝐜𝐨𝐧𝐝𝐢𝐭𝐢𝐨𝐧?  • The middle cerebral artery (MCA) primarily supplies blood to various regions of the cerebral cortex. Sensory and motor areas supplied by the MCA include parts of the face, upper and lower limbs, and areas involved in sensory and motor functions. The specific regions can vary among individuals, but generally, the MCA contributes to the blood supply of the lateral convexity of the cerebral hemisphere. This includes the precentral gyrus (primary motor cortex) and the postcentral gyrus (primary somatosensory cortex). Damage to the MCA can lead to motor and sensory deficits on the contralateral side of the body. 2. CLINICALLY WHERE DO YOU LOCALIZE LOSS OF SPEECH IN A PATIENT? Ans: In clinical terms, the localization of speech loss in a...
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