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...

A CASE of 48 yr old male with fever , paraperisis and altered sensorium

E-LOGS MEDICINE Hi , I am Soumyadeep Biswas a medical student. This is an E-Log that would help us to understand the patient centered approach for learning medicine. This E-Log has been created after taking consent from the patient and their relatives. Hope you gain some knowledge after going through the case. July 2 , 2021 48 YR OLD MALE PATIENT DIAGNOSED WITH ALTERED SENSORIUM SECONDARY TO MENINGOENCEPHALITIS CHIEF COMPLAINTS Fever since 10 days Altered sensorium since 5 days Weakness of bilateral lower limbs - 3days H/O of Oliguria since 3days HISTORY OF PRESENT ILLNESS Patient was apparently asymptomatic 1yr back , then he developed decreased urine output for which they admitted in hospital and Foley’s Catheter was placed , then he was diagnosed with Prostatomegaly with Rt renal calculi. Since 10 days patient has high grade fever on and off not associated with vomiting/loose stools/cough. Altered sensorium since 5 days. Si...

OSCE

OSCE DISCUSSION OSCE CASE LINK: https://127soumyadeepbiswas.blogspot.com/2023/12/a-65-year-old-male-with-dka-with.html OSCE question and answers 1. What is diabetic ketoacidosis (DKA) ? Ans. Diabetic ketoacidosis (DKA) is an acute, major, life-threatening complication of diabetes characterized by hyperglycemia, ketoacidosis, and ketonuria. It occurs when absolute or relative insulin deficiency inhibits the ability of glucose to enter cells for utilization as metabolic fuel, the result being that the liver rapidly breaks down fat into ketones to employ as a fuel source. The overproduction of ketones ensues, causing them to accumulate in the blood and urine and turn the blood acidic. DKA occurs mainly in patients with type 1 diabetes, but it is not uncommon in some patients with type 2 diabetes. Laboratory studies for DKA include glucose blood tests, serum electrolyte determinations, blood urea nitrogen (BUN) evaluation, and arterial blood gas (ABG) measurements. Treatment includes ...

CASES IN GENERAL MEDICINE

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