General medicine internal examination 1

Prefinal long case - 83 yr old male with shortness of breath with pneumonia

This is an a 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. The patient/ attender was informed the purpose of the information being acquired. An informed consent was taken from patient/ attender and there is omission of information that was requested to be omitted. A 83yr old male came with complaints of shortness of breath since 10 days. chief complaints: cough since 14 days Fever since 12 days shortness of breath since 10 days History of Presenting illness: Patient was admitted to ICU on 20/11/23 in the morning at 10 am with breathlessness. It

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 duration and a lower pitch. There is no specific location from where coarse crackles primarily originate. They are often altered by coughing. https://www.ncbi.nlm.nih.gov/pmc

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/2021/06/bimonthly-formative-and-summative_19.html?m=1 Here are my answers to these questions : Q1) Peer to peer review of case histories 1) Case by : https://preityarlagadda.blogspot.com/2021/05/biatrial-thrombus-in-52yr-old-male.html Diagnosis: Congestive cardiac failure at presentation (resolved ),Atrial fibrillation with rapid ventricular response (RVR), Biatrial thrombus with

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