General medicine Internal-1

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A 29 year old male from Miryalaguda...

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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 patient problem through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evidence input.                    This E blog also reflect my patient centered online learning portfolia and your valuable inputs on the comment box is welcome.                                    I have been given this case to solve in an attempts to understand the topic of patient clinical data analysis to develop my compentency in reading and comphrending clinical data including history , clinical finding , investigation and come up with diagnosis and treatment plan.... A 29 year old male from Miryalaguda ,a agricultural woker by occupation came to opd with complaints of Bilateral pain in lower limbs upto knee since 22 days History of Presentin
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OSCE and Learning Points

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A) OSCE Pre-Final Examination:- 1.Mechanism of Ascites:- 2.Medical management of Ascite:- * Role of Beta-blockerd in Ascites:- 3.Shunt treatment for Ascites:- Peritoneovenous shunt placement is performed as a long- term treatment for chronic refractory ascites. The shunt used most commonly is the Denver shunt, comprised of two silastic tubes connected by a compressible pump.  **Indications :- PVS is effective in the drainage of the peritoneal fluid in patients with chronic refractory ascites. The most common indication for insertion of PVS is medically intractable ascites secondary to chronic liver diseases. Conditions that result in chronic ascites that is unresponsive to medical therapy are best treated with PVS. These include acute and chronic liver diseases like cirrhosis, malignant ascites due to malignant tumors of the breast, ovary, or colon, chylous ascites, congestive heart failure, chronic kidney disease
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case study-3

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CASE STUDY - 03 roll.no:120  S.Nikhil kumar             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 patient problem through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evidence input.                    This E blog also reflect my patient centered online learning portfolia and your valuable inputs on the comment box is welcome.                                    I have been given this case to solve in an attempts to understand the topic of patient clinical data analysis to develop my compentency in reading and comphrending clinical data including history , clinical finding , investigation and come up with diagnosis and treatment plan....  35years old  male who is an electrician came to OPD on 21/7/21 with the cheif complaint of sudden weakness and giddin
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