13 Abhiram Bhashyakarla

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

A case of a 65 yr old female with altered sensorium. My patient is a 65 year old  female housewife hailing from a rural district in south india. She presented to us with chief complaints of : Patient was brought to casuality on 23/11/22 at 4:00 am early  in the morning with complaints of loose stools since 5 days and pain as mentioned by the atttender as she was screaming and restless with altered sensorium. History of presenting illness : The patient was apparently asymptomatic 5 days ago. She passed loose stools- watery in consistency, foul smelling and blood tinged on consuming kaya churnam (an ayurvedic powder) , went to RMP nearby and was given medication,  even upon which loose stools didnot stop . The attender mentions she became weak and then on 23rd nov, apparently after eating curd rice ,  when patient slept , suddenly in the middle of night patient was screaming due to pain  and could not talk anything, as mentioned by the attender. She was then bought to casuality. History

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 A 45 year old male with  complaints of fever since 6 days ,arthralgia,Headache-4 days,Nausea since 9 days. CHEIF COMPLANTS C/O Fever (6days) C/O Arthralgia (4 days) C/O Headache (4 days) C/O Nausea (9 days) C/O Loose stools(5 episodes) HISTORY OF PRESENT ILLNESS  A 45 year male,daily worker by occupation came to casualty with complaints of high grade fever and chills and rigors relieved by taking medication associated with headache and goes off with fever.No retro orbital pain.H/O Arthralgia since 4 days. No morning stiffness.H/O generalized weakness for 3 days.patinet sought for consultation on 2 nd day of illnesse

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