GM - First Internal Assessment

Name ; K.Srinija

Roll no : 63

Batch : 2019

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OSCE learning points

Learning points - This is a case of 65 year old female with Generalised Tonic Clinic seizures Osce questions 1) Reasons for seizures in old age people * Neurodegenerative disorders * Cerebrovascular disorders * Dementia * Metabolic disorders - Hypoglycemia - electrolyte imbalances - uraemia * Physical or mental exhaustion 2) pathophysiology of seizures * To function normally brain must maintain a continual balance between excitation and inhibition , remaining responsive to environment while avoiding continued unrestrained spontaneous activity * GABA inhibitory neurotransmitter acts on ion channels , enhances inflow of chloride and reduces formation of action potential * Excitatory amino acids allow influx of sodium and calcium and producing opposite effects * It is likely that many seizures results from an imbalance between this excitation and inhibition. ( From ...

A 65 year old female e log

65 year old female patient with seizure December 05, 2023 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. I have been given this case to solve in an attempt to understand the topic of " patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with diagnosis and treatment plan. A 65yr old female resident of lingotum with history of seizures Chief complaints:- . The patient was brought with chief complaints of Active involuntary movements 5 days back, history of frothing , mouth deviation to left uprolling eyeball ,no h/o of tongue bite, ur...

A 49 year old female patient elog

SRINIJA KARNEKANTI 3rd semester , Roll no : 63 Under the guidance of Dr.Krupa.( Intern) This is an online e-log platform to discuss case scenarios of a patient with their guardian's permission. I have been given this case to solve in an attempt to understand the topic of patient clinical data analysis to develop my competency in reading and comprehending clinical data including, history, clinical findings, investigations, and come up with a diagnosis and treatment plan. ★ CASE SCENARIO : *A 49 yr old female , mother of 2 children apparently asymptomatic 13 yrs ago and then she noticed mass per anum with bleeding , went to hospital and diagnosed as haemorrhoids and got operated. - Since 3 yrs she has history of muscle aches for which she is using NSAIDs. - She has h/o fever 20 days back, got treated in the local hospital, and - Since 20 days she has generalized weakness. - She also has h/o vomitings since 3 days, with food as content, non - projectile , non bilious. ★ HISTO...

63 Srinija Karnekanti

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