General medicine 1st Internal assessment

 


 
 













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Osce questions

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A 25yr old female

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A 25 yr old female housewife by occupation  resident of nalgonda came to general medicine OPD with  Chief complaints:- Body pains since 6 days Fever since 3 days History of presenting illness:- Patient was apparently asymptomatic 6 days back then she started developing body pains  insidious in onset ,gradually progressive, dragging type symmetrical in nature small joints are involved more not associated with swelling local rise of temperature and redness,aggregated vated during fever no relieving factors  Fever since 3 days sudden in onset continues in nature high grade associated with chills and rigors relieving on medication no aggravating factors Headache since 3 days during fever dragging type relived on medication and rest History of Vomitings 4 days back projectile type non bilious 3-4 episodes  History of watery loose stools 4 days back 3-4 episodes  History of petechial rash on left fore arm one day of admission after applying Bp cuff  No history of cough,night sweats, abdomina
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Assessment

 Monthly online summative assessment     I have been given with the following assignment  Name: P Charitha  Roll no : 95 (2019 batch) Question 1 :competency tested for peer to peer review and assessment   Link of the answer I have reviewed : https://02shishirareddy.blogspot.com/ PULMONOLOGY CASE          Case : The patient presented with complaints of episodes of shortness of breath on and off for past 20years. For episodes of shortness of breath the patient used inhalers and nebulizer. The past history of patient included diabetes since 8yrs, undergone treatment for anemia. The ABG results showed respiratory acidosis. The patient is a farmer where she can be subjected to an allergens or toxins. The patient had pedal edema  with pitting type and facial puffiness.  Diagnosis : chronic obstructive pulmonary disorders with right ventricular dysfunction, arrhythmias.  Review : The symptomatology was answered with the help of a diagram which was easy to grasp. The mechanism of pharmacologic
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