General medicine 1st internal assessment
















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female with break bone fever

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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 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. This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome 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 ...
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facial puffiness and edema of limbs

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This is an online E logbook to discuss our patient’s de-identified health data shared after taking his/her/guardian’s signed informed consent. Here we discuss our individual patient’s problems through series of inputs from an available global online community of experts to solve those patients clinical problems with collective current best evidence-based inputs. This e-log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box are welcome. a 53-year-old male, a Hotel owner and chief by occupation, The patient presented to the hospital with chief complaints of Swelling of both Legs since 10 days Swelling of face since 7 days HISTORY OF PRESENTING ILLNESS   The patient was apparently asymptomatic 10 days ago.In the first week of June he had a binge of alcohol on occasion of local festival. Later he observed abdominal distension, followed by Bilateral Pedal odema which is pitting type extending up to the knee, insidious in gra...
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OSCE PREFINAL EXAMINATION

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Date :1/12/ 2023 Case blog: http://vasavipakker.blogspot.com/2023/11/female-with-break-bone-fever.html 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 On examination: Hess test positive . NS 1 antigen detected PROVISIONAL DIAGNOSIS:   Dengue fever LINK: http://vasavipakker.blogspot.com/2023/11/female-with-break-bone-fever.html WHAT ARE THE NEWER MODALITIES FOR TREATING DENGUE?? DOXYCYCLINE link:https://journals.lww.com/jfmpc/fulltext/2022/06000/effect_of_doxycycline_and_doxycycline_with_carica.161.aspx#:~:text=The%20study%20results%20indicate%20that,and%20to%20minimize%20hospital%20stay Doxycycline is a derivative of tetracycline that possesses broad antimicrobial and antiinflammatory activities. Further, antiviral activity of doxycycline has been reported against retroviruses, and a significant reduction in retrovirus titre was observed after incubati...
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