General medicine (1st internal assessment)

Name - A.nikhil 

Roll no- 09

1st internal assessment 

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GM assignment

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      Pulmonology (case -1) 1)What is the evolution of the symptomatology in this patient in terms of an event timeline and where is the anatomical localization for the problem and what is the primary etiology of the patient's problem? Evolution of symptomology: 20 yrs back-First episode of shortness of breath(lasted for 1 week during January)and continued in the same pattern for 7 years ↓ 12 years back-Episode lasted for 20 days and continued in the same pattern till 30 days back ↓ Latest episode- lasted for 30 days and not getting relieved on medication ↓ Other symptoms 5 yrs ago-Anaemia 1 month back-Generalised weakness 20 days ago- Hypertension  15 days ago- pitting type of pedal edema and facial puffiness Anatomical localization of the problem: Bronchi and bronchioles of the lung  Primary etiology : The symptoms are probably due to the inhalation of Paddy dust Paddy dust is biologically composed of  plant material fungi: of genus epicocum, ...
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42 Yr old male pt with SPESIS WITH MODS

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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 and your valuable inputs on the comment box A.Nikhil  1701006013 42 year old male came to casually with CHEIF COMPLAINTS OF fever since6 days  vomitings since 4 days ( on and off) SOB since 2 days Yellowish discolouration of body, urine since 1 day HOPI Pt was apparently asymptomatic 6 days back then developed fever which is high grade not associated with chills and rigors  Vomiting 2 days ago 1 episode with food as content ,non projectile, non bilious, non blood stained SOB- since 2 days yellowish discoloration of body , urin...
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INTERN ONLINE ASSESSMENT -GRNERAL MEDICINE

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 DURING UNIT -4  DUTYS - CASE-1  https://avulanikhil09.blogspot.com/2022/08/gm.html MY ORIENTATION AROUND THIS CASE - 1. WHAT WAS THE POSSIBLE CAUSE OF ANEMIA?  Ans :- ? BLEEDING PER RECTUM  2. Is there any possibility that the patient could be having thalassemia since he has splenomegaly , thalassemia minor and intermedia can present  like an iron deficiency anemia too? Ans :-his HB  electrophoresis reports didn’t show thalassemia CASE -2  https://avulanikhil09.blogspot.com/2022/08/14-yr-male-with-bl-neck-swelling.html CASE -3 https://avulanikhil09.blogspot.com/2022/09/is-online-e-log-book-to-discuss-our.html 1 . What is the sensitivity and specificity of dengue rapid test vs ELISA?Which method is better ? Ans :-The rapid ICT test for IgM when compared with the IgM capture ELISA, it showed a  sensitivity of 92.57%, specificity of 98.53 % , Positive predictive value of 98.03 % and Negative predictive value of 94.37 % REFERENCE:- https://www.i...
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