Internal assessment -3

 
















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125 Afrin. Sk

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  CASE :  35 year old male Patient resident of katamgur, toddy worker by occupation came with C/o distension of abdomen since 3 months C/o shortness of breath since 3 months  C/o pedal edema since 20 days HOPI: Patient was apparently asymptomatic 6months back then he developed distension of abdomen with shortness of breath grade II , insidious in onset, gradually progressive,no aggravating and relieving factors. C/o pedal edema since 20 days,B/L pitting type extending upto the knee. C/o fever since 7 days on and off, associated with chills and rigors. C/o chest pain since 7 days. C/o decreased urine output since 20days No c/o orthopnea,PND,chest pain, palpitations. No C/o pain abdomen, vomitings,loose stools. Patient had similar complaints in the past (6 months back), for which he got admitted in nalgonda hospital,stayed for about 11 days and then after being relieved.patient has continued doing the work . patient had similar complaints 14 days back for which he got admit...
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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 ey...
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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...
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