Posts

Evidence based date wise workflow logs collated by the intern with clickable and verifiable links 

 1. Case 1:  72 year old female, C/O weakness and slurring of speech   26/08/23 Ward: ward Unit: 3 DOA: 23/08/23 S:   Episodes of vomiting  O :  Right facial nerve palsy  CVA - ISCHEMIC STROKE SECONDARY TO ACUTE INFARCT IN LEFT MCA TERRITORY A: No icterus, cyanosis, clubbing, lymphadenopathy. BP - 130/90 mmhg PR - 78 bpm RR - 16 cpm GRBS - 134 mg/dl CVS - S1 S2 Heard RS - BAE + P/A - Soft, non-tender  P:  1. IV fluids NS 0.9 @75 ml/hr 2. Inj. Magnex forte 1.5 gm IV/BD 3. Inj. Metrogyl 500mg IV/TID 4. Inj. HAI S/C TID 5. Tab. Amlodipine 5 mg PO/OD 8AM 6. Tab. Ecospirin AV 75 mg PO/OD  7. Tab. Paracetamol 650 mg PO/SOS 8. GRBS 7 Profile  9. Regular dressing 10. Inj. Diclofenac 20 mg IM/OD  11. Monitor vitals 4th hourly PaJR: https://chat.whatsapp.com/JqIk6KGDFlEH19wQlVm0Pa BLOG:  https://mahithaakireddyfmg07.blogspot.com/2023/08/72-f-co-deviation-of-mouth-to-left-side.html 2. Case 2:   65 F with B/L pedal edema and DECREASED URINE OUTPUT  C/O B/L pedal edema, facial puffiness and decrea
Post a Comment
Read more

Anecdotal self reflections on their internship learning with some video  evidence of procedures performed 

Image
This case has been given to solve in an attempt to understand and analyse the patient's clinical data, and develop my competency in reading and comprehensive study on the clinical data including history, clinical findings, investigations, and coming up with diagnosis and treatment plans. This is an online e-log book to discuss our patient's de-identified health data shared after taking his / her / guardians' signed informed consent. Here we discuss our individual patients' problems through a series of inputs from the available global online community of experts with an aim to solve those patients' clinical problems with collective current best evidence-based information. While I was working in the Unit, I encountered a 60 Year old Female with complaints of loss of near vision in both eyes since 2-3 years and watery eye discharge with itching in both eyes since 1 year.  Later I found out that she knew that she had Hypertension but she never took medication for it. Up
Post a Comment
Read more

Self reflective writing on their medical student career 

 Hi, I am Mahitha Akireddy , Foreign Medical Graduate, doing my internship in Kamineni Institute of Medical sciences. I'll be sharing my experiences during my postings in general medicine.  All my experiences were only possible because of the guidance I received from our HOD sir and my mentors.  They have encouraged me in their unique way, sharing examples and taught me to pursue my dreams so I would like to express my gratitude to them. My first ever encounter with a patient was when I was posted in the general medicine department and all of us were supposed to take up a patient's history and diagnose by ourselves.  I was in OP Room since it was my unit's OP Day and I saw this patient walk in with her attender. It was a 72 year old female with deviation of mouth to left side and slurring of speech. Patient was apparently asymptomatic 1 week ago and she developed swelling, redness and tenderness over left lower limb after scratching her leg for which has been undergoing reg
Post a Comment
Read more

Case based OSCE along with Bloom's learning levels acheived 

Image
OSCE DAY:  I was asked to take up two cases for the OSCE. One case from OP and one from IP, i. e., ICU.  The OP case was about a 30 year old female with complaint of headache, and the IP case was about a 32 year old male with Generalized Tonic Clonic Seizures in ICU.  First, I was assigned an OP case to do history taking and physical examination of the patient. I further diagnosed and assisted the patient in recieving the treatment for her complaint as well.  Here is the case as presented below.  CHIEF COMPLAINT : 30 year old female patient walked in to OP room with complaint of frontal headache since 4 days. HISTORY OF PRESENT ILLNESS: 30 year old female patient walked in to OP room with complaint of frontal headache since 4 days.  She has a history of trauma 4 days back since then she developed the headache. Her symptom was associated with photophobia and photophobia.  She has no complaints of loss of consciousness, giddiness, blurring of vision, fever, nausea and vomitings.  No comp
Post a Comment
Read more

32 Y/M with Generalized Tonic Clonic Seizures and hypoglycemia

Image
 This case has been given to solve in an attempt to understand and analyse the patient's clinical data, and develop my competency in reading and comprehensive study on the clinical data including history, clinical findings, investigations, and coming up with diagnosis and treatment plans. This is an online e-log book to discuss our patient's de-identified health data shared after taking his / her / guardians' signed informed consent. Here we discuss our individual patients' problems through a series of inputs from the available global online community of experts with an aim to solve those patients' clinical problems with collective current best evidence-based information. MED CASE: 32 year old male with generalized tonic clonic seizures and hypoglycemia.  CHIEF COMPLAINTS: The patient was brought to casualty with loss of speech, generalized tonic clonic seizures and hypoglycemia 2 days ago. HISTORY OF PRESENTING ILLNESS: Patient was apparently alright 10 days back a
Post a Comment
Read more

68 Y/M with C/O SOB, Chest pain and giddiness

Image
 This case has been given to solve in an attempt to understand and analyse the patient's clinical data, and develop my competency in reading and comprehensive study on the clinical data including history, clinical findings, investigations, and coming up with diagnosis and treatment plans. This is an online e-log book to discuss our patient's de-identified health data shared after taking his / her / guardians' signed informed consent. Here we discuss our individual patients' problems through a series of inputs from the available global online community of experts with an aim to solve those patients' clinical problems with collective current best evidence-based information. MED CASE: 68 Y/M WITH COMPLAINTS OF SOB, CHEST PAIN AND GIDDINESS SINCE 2 MONTHS.  COMPLAINTS: C/O SOB, CHEST PAIN AND GIDDINESS SINCE 2 MONTHS. HISTORY OF PRESENT ILLNESS: PT WAS APPARENTLY ASYMPTOMATIC UNTILL 2 MONTHS BACK THEN HE DEVELOPED CHEST PAIN WHICH WAS NON RADIATING, LOCALIZED. HE GETS
Post a Comment
Read more