GM INTERNAL ASSESSMENT 1

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...

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 ...

A 65 year old male with DKA with community acquired pneumonia and pre renal AKI

Hi, I am Soumyadeep Biswas a medical student . This is an E-Log, that depicts the patient centered approach for learning medicine .This E-Log has been created after taking consent from the patient and their relatives. The links that were used by me for understanding the available data on the particular disease have been mentioned below in each post . Hope you learn valuable information after giving it a good read ! OSCE CASE QUESTIONS: https://127soumyadeepbiswas.blogspot.com/2023/12/osce.html A 65 year old male was brought to casualty with CHIEF COMPLAINTS Fever since 4 days Breathlessness since 1 day HISTORY OF PRESENTING ILLNESS Patient was apparently asymptomatic 10 days back when he developed cold and cough with expectoration which is greenish and mucoid no aggravating or relieving factors. Now the expectoration has decreased. Then developed fever 4 days back which is insidious in onset gradually progressive high grade, continuous and not associated with chills an...

CASES IN GENERAL MEDICINE

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