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G.Nagarjuna Roll 49 internship assessment

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Internship assessment  Feb 09,2023 Psychiatry Posting From 12-12-23 to 26-12-23 Learned about importance of history taking and how by history we can reach to a provisional diagnosis. - Saw different patients and learned how to take basic history  Examples like : 1. Schizophrenia  2.OCD 3.ALCOHOL DEPENDENCE SYNDROME  4. TOBBACO DEPENDENCE SYNDROME  5. Depression  6. Psychosis  7. Panic attack  - learnt the medications given to the patients and their side effects LEARNT ABOUT AUDIT SCORE WHICH IS PARAMETER IN EVALUATING ALCOHOL DEPENDENCE SCORING: 0-7: SENSIBLE DRINKING 8-15:HAZARDOUS DRINKING 16-19:HARMFUL DRINKING  >20:ALCOHOL DEPENDENCE  Unit Duties 27-12-22 to 26-1-23 Case 1 A 50 year old male came to opd with  Chief complaints of abdominal pain http://39nagarjuna.blogspot.com/2023/01/50-year-old-male-with-abdominal-pain.html Q1) How Alcohol causes pancreatitis ? Alcohol is believed to cause precipitation and incr...

A 26 year Old female with weakness of both the lower limbs

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Jan, 11 2023 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 comments on comment box is welcome. A 26 year old  female with C/O weakness in the lower limbs  2 days back Hopi : pt asymptotic 3 years back then she had weakness of both limbs and not able to walk which is sudden in onset does not relived on rest. Then she went to  hospital There she was found to have low k+ levels There she was advised to take syrp POTKLOR and banana as supplements. Then her symptoms were relived . She stopped the medication when her symptoms were relived. She had 2...

A 55 YEAR OLD MALE WITH SOB

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Jan 03 2023 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 CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT.    This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. I have been given this case to solve in an attempt to understand the topic of " patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with diagnosis and treatment plan. A 55 year old male patient came to the op with the cheif complaints of sob since 20 days. HOPI-patient was apparently asymptomatic 20 days back then he developed sob,which was of class ...

55 year old male with hemiplegia

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Jan 03 2023 01,2023This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. I have been given this case to solve in an attempt to understand the topic of " patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with diagnosis and treatment plan. CASE- A 55yr old male came with the chief complaints of burning sensation in left leg since 15 days. Associated with right sided sudden chest pain since 6days . HOPI- Patient was apparently asymptomat...

50 year Old male with abdominal Pain

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Jan 02 2023 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 CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT A 50 year old male came to opd with  Chief complaints of abdominal pain since 12 am of 2/1/23. History of presenting illness Patient was asymptomatic 1 day ago ,then he developed abdominal pain which is insidious in onset ,gradually progressive in nature ,colicky pain Pain is continuous and diffuse all over abdomen,more felt in epigastrium. No aggravating and relieving factors. No history of radiating pain to back ,nausea,vomiting , constipation ,blood in stools ,loose stools. He is a chronic alcoholic of 30 yrs Past history H/O of diabetes since 3yrs on medication No h/o of hypertension ,tb,asthma...

Diagnostic tap

 

35 year old female C/O head ache and neck pain

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Dec 29 2022 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 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-centred online learning portfolio and your valuable inputs on the comment box is welcome."I've been given this case to solve in an attempt to understand the topic of "patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with a diagnosis and treatment plan    35 year old female presented with the c/o of headache, neck pain since two months, tingling sensation of left hand since two months and left shoulder pain since 2 months HOPI ...