GM INTERNAL ASSESSMENT 1

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...

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 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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