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Showing posts from November, 2023

36 y/o woman with massive pericardial effusion

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Note - This is an a online e log book to discuss our patient's 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 centred online learning portfolio and your valuable inputs on the comment box is welcome. 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.  Patient came to the OPD with chief complaints of generalised swelling of body since 3 to 4 months, shortness of breath since 4 months.  History of presenting illness : Pt was apparently alright 4 mont

INTERNSHIP COMPLETION ASSESSMENT

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  Period of posting - from 1st Ocotber 2023 to 30th November 2023  1/10/23 to 15/10/23 - Posted in psychiatry department  My medicine posting started with Psychiatry department which is more or less a sub branch of medicine. Without this branch, medicine is incomplete.  During these postings I used to sit in the OP and listen to my PGs take case history. The history taking in psychiatry is quite elaborate with attention to detail. Some of the cases that I have seen are -  Anxiety disorder  Dissociative disorder  Schizophrenia  Depression  Tobacco and alcohol dependence syndrome  On my night duty I was put incharge of a patient who had dissociative disorder. He would get agitated and start making animal sounds. I learnt how to manage this case by giving drugs like lorazepam and  haloperidol.  I helped take surveys on impact of electronic gadgets in our day to day lives and role of religion in our lives.  I was a part of the skit group that performed on World Mental Health Day on 10th Oc

Evidence Based Date Wise Workflow Logs

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 Evidence Based Date Wise Workflow Logs  Blog 1  https://manvisharma88.blogspot.com/2023/11/43-yo-woman-with-co-headache-since-2-yrs.html PaJR 1  https://chat.whatsapp.com/GvgE5OVaODP0vp6pIn2CP7 [06/11/23, 4:44:18 PM] Rakesh Biswas Sir: Thanks [06/11/23, 4:45:40 PM] Rakesh Biswas Sir: Please share what we've been able to work up till now.  Also the ophthalmology notes for her other relative who's admitted in ward? [06/11/23, 5:59:25 PM] Manvi Sharma: Okay sir [07/11/23, 8:33:01 AM] Rakesh Biswas Sir: Stop Ultracet bid  Bring her to the opd today with her relative and his mri films [10/11/23, 12:43:58 PM] Manvi Sharma: Ophthal referral -  Impression - no papilledema changes  Adviced to wear same spectacles [10/11/23, 12:47:46 PM] Manvi Sharma: Plbs - 162mg/dl  Hba1c - 6.8% [10/11/23, 3:32:05 PM] Rakesh Biswas Sir: Share the post meals after every meal  What's the Fbs? [11/11/23, 8:06:16 AM] Deb Eshwari Pt: Sri kalke komor betha matha gorano kam chilo akje ratter par theke ab

My experiences with general cellular and neural cellular pathology in a case based blended learning ecosystems

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Self -reflective writing on my Medical student career  Hello and welcome to this space! I’m Manvi Sharma an MBBS intern currently posted in the Dept of Medicine in a college in Telangana,India.  This is my blog through which I will give you a glimpse of the ‘splendid journey’ that my medicine posting has been.  It all started on a weary Friday evening in March 2022. I was still a budding medical student. I was giving company to my senior who had duty when I noticed that a case was brought to the casuality. The man, about 70 yrs old had come with complaints of shortness of breath and giddiness since 1 year and decreased urine output since few months. I was perplexed as to what could be the reason. One of the PGs told me to go ahead and take the case. Initially, I was reluctant but under the guidance of my senior friend I went ahead and asked him his history. I was guided as to how to do a general examination too. It was my first ever experience which gave me immense satisfaction and ins

[CASE BASED OSCE]77 yr old man with generalised weakness

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Note - This is an a online e log book to discuss our patient's 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 centred online learning portfolio and your valuable inputs on the comment box is welcome. 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.  DOA - 20/11/23  Case -  A 77 yr old man was brought to the GM OPD with chief complaints of  • vomitings since yesterday night  • loose stools since yesterday night  • generalised weakness since yester

[CASE BASED OSCE] 20 y/o girl with pain abdomen since 1 day

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Note - This is an a online e log book to discuss our patient's 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 centred online learning portfolio and your valuable inputs on the comment box is welcome. 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.  DOA -  20/11/23  Case -  A 20 yr old girl came to the GM OPD with complaints of •pain abdomen since 1 day •vomitings about 8-10 episodes since yesterday night  History of presenting illness -  Patient