1st internal GM

                       1st INTERNAL GM                    




















































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65 F postural dizziness and vomiting

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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 . CASE :            65 year old housewife from Nalgonda Chief complaints-dizziness and  Vomiting 5 episodes 3 days ago History of present illness-  Patient was apparently alright 1 year back then developed vomiting associated with giddiness and pain. she came to our hospital and vomiting subsided with treatment. She was asked to take Vertin 24 (betahistine) at discharge. she took the medication for 3 months and then stopped after consulting with her physician. She had mild episodes of vomiting for the next months until 3 days
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OSCE questions

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Case report :  https://afrin125.blogspot.com/2023/12/pre-final-case.html LEARNING POINTS :  1.I learnt importance of history taking . 2. Difference between cerebellar ataxia and sensory ataxia . 3.I  learnt about Bppv . 4.evaluation of proprioception and vibration sensations 5.I learnt about  types of vertigo. 6. Vertebrobasillar insufficiency caused by fluorosis/spondyloarthopathy leading to intermittent vertigo (similar to angina)  7.i learnt about CNS examination. OSCE QUESTIONS :  1.Difference between sensory ataxia and peripheral ataxia :  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8046926 2. Vertebrobasilar insufficiency is a condition characterized by poor blood flow to the posterior (back) portion of the brain, which is fed by two vertebral arteries that join to become the basilar artery. Blockage of these arteries occurs over time through a process called atherosclerosis, or the build-up of plaque. Symptoms : loss of vision in one or both eyes double vision dizziness or vert
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General medicine assessment

    General medicine assignment                                    125 Afrin shaik                                                      ( 3rd sem ) Question . 1    1 Case: Pulmonology  :  https://soumyanadella128eloggm.blogspot.com/2021/05/a-55-year-old-female-with-shortness-of.html       As chief complaints are pedal edema facial puffiness and shortness of breath for the past 15 days .As far the examinations done and investigations revealed that she is suffering from an exacerbation of COPD along with right heart failure associated with bronchiectasis.  2Case : Neurology    https://143vibhahegde.blogspot.com/2021/05/wernickes-encephalopathy.html   As the patient has been presented to the hospital with chief complaints of irrelevant talking and decreased food intake for 9 days .after lab investigations and radiological reports and the person is diagnosed with wernickes encephalopathy secondary to chronic alcohol dependence. Wernickes area is normal in the temporal lobe on the left side
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