gm 1st internal 2023

Gm 1st internal

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acute cholecystitis

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A 50 years old female occupation by daily labour resident of nalgonda. Chief complaints:-  pain in right abdomen since 2 days. History of presenting illness:- Patient   was apparently asymptomatic 2days back then he developed pain in right upper abdomen which is sudden in onset gradually progressive in nature. Pain is if pricking type radiating to back . Aggrvating factors:-  food consumption relieved on medication. Burning sensation in epigastric region. H/o fever since 2 days low grade intermittent associated with chills and rigors. No h/o vomiting,Loose stools, constipation, burning micturation. No loss of weight Past history:- H/o similar complaints one week ago Symptoms subsided on using medication. Not a know case of diabetes htn epilepsy tb asthma thyroid diseases. Personal history:- Diet:-mixed Appetite:-normal Sleep:-adequate Bowel and bladder :-regular Addiction:-no addictions Family history:- No relevent family history General examination:- Patient is consciou...
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osce question

PREFINAL PRACTICAL EXAMINATION                           OSCE QUESTIONS  This is a case of 70 year old female who came with complaints of shortness of breath which were intermittent and increased since the last  25 days and after clinical examination was diagnosed with acute exacerbation of bronchial asthma. Sequence of events:- 👉What was your patient's hourly workflow before the illness and how did it change after?  Before the Illness: 1. Morning Routine: The patient used to.  Wake up at 6 AM  Engaged in household activities like dishwashing and cooking breakfast.  Breakfast comprised rice and curry, followed by cleaning the house and socializing with neighbors. 2. Daytime Activities:    Lunch around 1PM,  Having some sleep after lunch followed by cleaning and preparing food for son and daughter-in-law upon their return from work. Quality family time in the evening, dinner at ...
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My experience in CBBLE

My experiences with general medicine in a case based blended learning ecosystem's CBBLE  Hello, This is R sumanth raj , a medical undergraduate studying in India. I'd like to share some of the interesting cases that helped me to learn more about medicine. NOTE : 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 A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS INTENDING TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT. Alright let's get to the details of my first encounter with a patient. She was a 38 year old female came to casuality with chief complaints of fever and vomitings since 3 days. Link to the case:- case 1 This is my first encounter with the patient and i've learnt to communicate with the patient, to find out the relevant history that lead to...
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