GM first internal assessment

CLINICAL MEDICINE FORMATIVE ASSESSMENT

SOUMYADEEP BISWAS ROLL NO. 127 I have been given the following cases to analyse and solve, in an attempt to understand the topic of 'Patient clinical data analysis' to develop my competency in reading and to comprehending clinical data including history, clinical findings, investigations and diagnosis, and then come up with a treatment plan. This is the link of the question asked regarding the case https://medicinedepartment.blogspot.com/2021/06/medicine-department-paper-for-june-2021.html?m=1 Below are my answers to the medicine assignment based on my comprehension of cases. ASSIGNMENT Ans.1 PULMONOLOGY - the patient came with the chief complaint of shortness of breath , pedal edema and puffiness in face. It is a case of COPD and right heat failure. The patient also has bronchiectasis which permanently dilates the bronchi leading to increased mucous formation and difficulty in breathing. Her puffiness in face and pedal edema is due to the increased hydrostatic pressur...

38yr old male patient developing severe pain in groin area

"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. The history has been taken using telephonic method. Chief complaints: a 38yr old male patient complained of severe pain the groin area History of presenting illness: patient was apparantly asymptomatic 5days back and then developed severe pain in the groin region. The location of the pain is in the inguinal region which is continuous in nature and constant. The pain radiates to the back. The pain becomes intense with urination or any exertion, it is associated with mild fever ,...

A 22 yr old female with generalized weakness and easy fatiguability since 2 months

A 22 yr old female who is a student came with complaints of generalized weakness and easy fatiguability since 2 months History of Presenting illness Pt was apparently asymptomatic 5 years back then she started to have desire to eat non edible material and went to the hospital and was diagnosed with Anemia (Hb 4gm/dl) and 2 units of PRBC transfusion was done Now since 2 months she is complaining of easy fatiguability with generalized weakness C/o SOB(grade ll-III) insidious in onset, gradually progressive to grade III,c/o exertional dyspnea No c/o chest pain, palpitations, orthopnea,pnd No c/o fever,loose stools, vomitings PAST HISTORY H/o similar complaints in the past H/o two PRBC transfusion N/k/c/o diabetes HTN TB Asthma Epilepsy thyroid disorders PERSONAL HISTORY Diet Mixed Appetite normal Sleep adequate Bowel and bladder regular Addictions No Daily routine Pt wakes up around 7 am takes breakfast and goes for coaching institute and ...

CASES IN GENERAL MEDICINE

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