General medicine internal examination July 2023

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, urinary inc

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 Davidson medicine text book ) 3) Drug of choice for different seizure disorders 4) phe

GENERAL MEDICINE ASSESSMENT

Name : Karnekanti Srinija Roll no : 63 Batch : 2019( 3rd semester) JUNE 2021 — BIMONTHLY BLENDED ASSESSMENT Question No -1 * First question is to go through the 10 answers of people in following link and Write a summary on the case , tell about their work LINK :- (https://generalmedicinedepartment.blogspot.com/2021/06/bimonthly-formative-and-summative_19.html?m=1 ANSWER : * I selected the case Regarding Pulmonalogy Here is the summary of the case — This is a case of 55 year old female patient came to OPD with chief complaints of : shortness of breath ; pedal edema and facial puffiness — The patient is diagnosed with Acute exacerbation of COPD associated with right heart failure and bronchiectasis — she is a known case of Diabetes — The SOB is generally observed during the month of January (during which she works in the paddy field )and her first episode Of SOB observed 20 yrs ago — The systemic examination reveals barrel shaped chest , diffuse apex beat felt at 5 ICS , end ins

63 Srinija Karnekanti

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