GENERAL MEDICINE 14/7/2023 INTERNAL

Gen Med 2 nd internal 14/07

Comments

Post a Comment

Popular posts from this blog

PREFINAL PRACTICAL EXAM

Image
40 YEAR MALE WITH PAIN AND DISTENSION OF ABDOMEN , DECREASED URINE OUTPUT SINCE 2 DAYS  This 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 patients 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 • A 40 year old male pt , farmer by occupation resident of Nalgonda came with  Chief complaints  Pain abdomen 2 da...
Read more

OSCE & LEARNING POINTS

Image
OSCE  • Which is the better afterload reducing drug? One of the classes of drugs commonly used to reduce afterload is vasodilators. Afterload refers to the resistance the heart has to overcome to eject blood into the systemic circulation. Vasodilators help dilate blood vessels, reducing this resistance and making it easier for the heart to pump blood. Several types of vasodilators are used for this purpose: 1. **Angiotensin-Converting Enzyme (ACE) Inhibitors:**    - **Examples:** Enalapril, Lisinopril, Ramipril.    - **Mechanism:** Inhibit the conversion of angiotensin I to angiotensin II, a potent vasoconstrictor. This leads to vasodilation and reduced afterload. 2. **Angiotensin II Receptor Blockers (ARBs):**    - **Examples:** Losartan, Valsartan, Irbesartan.    - **Mechanism:** Block the action of angiotensin II on its receptors, resulting in vasodilation and decreased afterload. 3. **Calcium Channel Blockers:**    - **Examples:...
Read more

45Y / F with Neck pain & Fever

Image
Im presenting a case of 45 year old female , House wife , resident of Bhongir came to the opd with  Chief complaints   Neck pain since 10 days   Fever since 10 days  History of present illness   Patient was apparently assymptomatic 10 days ago then she developed pain in the left side of neck during ( flexion & extention ). which was sudden in onset , continuos , which is radiating from occipital region to the shoulders , aggrevated on work and relieved temporarily on medication ( Oils )  Patient also complaining of fever high grade , continuous , assosiated with generalized weakness, fatigue , myalgia & headache  , aggrevating as day proggresses and temporarily on taking medication , Fever is not associated with chills or rigors .  H/o Palpitations  No H/o Trauma   No H/o Nausea vomiting  No H/o spine tenderness  No H/o Diplopia No H/o photophobia  No H/o Persisitant headache  No H/o Red ra...
Read more