Learning points:- I have learned about treatment plan of epilepsy Mechanism of action of phenytoin in epilepsy Maintenance and loading dose in epilepsy Adverse effects of phenytoin in therapeutic range Importance of levitriacetam in status epilepticus I have learned how to auscultate bronchial breath sounds In community acquired pneumonia case:-Characteristic difference between inspiratory and expiratory sounds of bronchial breath sounds(inspiration- gushing expiratory-hollow) In CKD case:- how to examine distended abdomen, how to perform fluid thrill, how to perform shifting dullness OSCE:- -causes of unexplained onset of seizures in adults various structural and functional causes can be responsible for late onset of seizures with unexplained origin -cerebral small vessel ischemic disease -accumulation of amyloid beta - hyperphosphorylated tau -sleep apnea https://pubmed.ncbi.nlm.nih.gov/31481308/ IDIOPATHIC GENERALISED EPILEPSY While late-onset IGE (IGE with an age at onset of a
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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. 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. This blog is done by 103.Pavan & 104.Jeshmitha A 55yr old female resident of chityal with history of seizures Chief complaints:- The patient was brought to casuality with chief complaints of Active involuntary movements ,since 30 minutes, history of frothing from mouth deviation of eyeball upwards ,tongue bite with urinary incont
MEDICINE LOG -103 Pavan This is an online e-log platform to discuss case scenario of a patient with their guardians 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, come up with a diagnosis and treatment plan. A 70yr old male came to medicine opd with chief complaints of -generalised body pains -decreased appetite -shortness of breath since 10 days HISTORY OF PRESENTING ILLNESS:- Patient was apparently asymptomatic 8yr back then he developed stomachache for which he got investigated and diagnosed of having cholelithiasis and found to have chronic kidney disease. for cholelithiasis surgery was done and ckd was managed conservatively. he was fine till january of 2023 when he started to have vomiting and fever episodes on and off and found to have progression of kidney disease and was advise
MEDICINE LOG -103 Pavan This is an online E logbook to discuss our patients' de-identified health data shared after taking his/her/guardian's signed informed consent. Here we discuss our individual patient's problems through a series of inputs from the available global online community of experts intending to solve those patients' clinical problems with the collective current best evidence-based inputs. This e-log book also reflects my patient-centered online learning portfolio and your valuable inputs. 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, and investigations, and come up with a diagnosis and treatment plan. THIS IS A CASE OF 65 YEAR OLD MALE PRESENTED TO CASUALTY WITH CHIEF COMPLAINTS:- vomitings since 4 days 2-3 episodes per day Loose stools since 4 days HOPI :- The patient w