General medicine internal examination 1

GENERAL MEDICINE MONTHLY ASSIGNMENT (JUNE 2021)

June 30, 2021 GENERAL MEDICINE BIMONTHLY ASSIGNMENT ( JUNE 2021 ) I have been given the following assignment to analyze , and review, in an attempt to understand the topic of 'Patient clinical data analysis' to develop my competency in reading and to comprehending clinical data including history, clinical findings, investigations and diagnosis, This is the link of questions asked in the bimonthly assignment: https://generalmedicinedepartment.blogspot.com/202...

OSCE PREFINAL EXAM

OSCE- PREFINALS DEC 2023: Case report : I have tried to answer some of the questions regarding case discussion of our patient 1. How to clinically differentiate between coarse and fine crepitations ? Ans- well, crepitations or crackles are adventitious respiratory sounds which occur when an obstructed airway due to accumulated secretions opens in inspiratory phase. The sudden opening of an obstructed airway causes an immediate re-equilibration of the pressures on both sides creating vibrations in the airway walls. Fine crackles -- A). having a short duration and a higher pitch, Often, fine crackles are repetitive, originate in the basal part of the lung, and not altered by coughing. B) Coarse crackles appear to be a longer durati...

22

41 YEAR OLD FEMALE Patient was brought with complaints of 2 episodes of involuntary movements of upper and lower limbs and hemoptysis .History of present illness :- Patient was apparently asymptomatic till 5 am then she developed sudden onset of movements of both upper and lower limbs at 5am in the morning which lasted for about 4-5mins , not associated with any trigger, no aura and the patient was confused after the episode she had an other similar episode while bringing to the hospital.She had two similar episodes at the hospital.Sequence of events :- 13 years ago she developed low back ache and generalised weakness started for which she went to local hospital.Then during the investigations was found to be having soft tissue overgrowth,(as said by attenders ,no documentation)and need to get operated, during routine investigations creatinine was elevated, then she was started on conservative management .(Sod bicarb,Shelcal,Omeprazole,Iron folate)Since then ,she is on routine fol...

E- LOGS OF MEDICINE

Search This Blog