LOG BOOK QUESTIONS question number 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? ANSWER Pt had shortness of breath for past 20 years . 20 years ago - pt had her 1st episode which lasted for a week-grade II SOB-relieved on taking medication For next 8 years she had an episode every year around the same time (January)-gradeII SOB-relieved on taking medication 12 years back -pt had a severe episode which lasted for about 20 days -grade II SOB -pt was hospitalised and SOB relieved on taking medication. (From then she’s having yearly episodes which last for about a month,which is again in January)-grade II SOB-relieved on taking medication 30 days back-her latest episode of SOB has started SOB is insidious in onset and gradually progressive. Initially-SOB occurred only on exertion and relieved my taking res
November 03, 2022 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. CASE: 17 year old female complaints of vomitings and loose stools since 1week CHIEF COMPLAINTS: Vomitings since 1week Loose stools since 1week Fever since 3 days HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic One week back,she had outside food followed by which she developed loose stools and vomitings. Loose stools:- 4-5episodes, water in consistency, non foul smelling, no blood tinged. Vomitings:- 4-5 episodes, non projectile, non bilious,non foul smelling contents include food particles,Which subsided on taking medication, Fever was incidious in onset, associated with chills and rig
Intern assessment and extension sample: Name : Jai Abhiram.B Posted from 11/10/2022 till 11/12/2022 Current online learning portfolio (OLP) linked here 👉 https://abhirambhashyakarla.blogspot.com/ Learning impact assessment from cases recorded in OLP : 1)CASE 1 https://abhirambhashyakarla.blogspot.com/2022/11/a-case-of-78-year-old-female-with_25.html?m=1 Brief History 65 yr old female with c/o complaints of loose stools since 5 days and pain Diagnosis ALTERED SENSORIUM secondary to HYPONATREMIA (hypovolemic hyponatremia) ( TRUE HYPONATREMIA) ? secondary to GI loss ?Dysentry with anemia under evaluation and history of hypertension. Questions around the case : 1)How Would Hyponatremia cause altered sensorium? When hyponatremia occurs, the resulting decrease in plasma osmolality (with the exception of the rare cases of non-hypoosmotic hyponatremia) causes water movement into the brain in response to the osmotic gradient, thus causing cerebral edema. The cells most involved in
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