Gm first internal














Comments

Post a Comment

Popular posts from this blog

Image
CASES IN GENERAL MEDICINE A CASE OF 45 yr old male with CKD on MHD (Second degree Diabetic nephropathy) October 08, 2021 This is an online e-log book to discuss our patient's de-identified health data shared after taking his/her/guardian's informed consent. Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs. CASE : A  45 yr old male  presented with fever , burning micturition , pedal edema CHIEF COMPLAINTS:  fever  Burning micturition  Facial puffiness  Pedal edema progresses to anasarca 5 sessions of Hemodialysis were done  HISTORY OF PRESENTING ILLNESS:  The patient has been readmitted to our hospital first dialysis was done on 5/09/21 No h/o pedal edema , oliguria and SOB (from past 7 days) HISTORY OF PAST ILLNESS:  He is a known case of  Diabetes mellitus (...
Read more

October

 Monthly assignment OCTOBER have been given the following cases 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 taking,clinical findings,investigations and diagnosis and come up with a treatment plan. This is the link to the questions asked in the assignment: https://medicinedepartment.blogspot.com/2021/10/oct-2021-formative-bimonthly-blended.html?m=1 QUESTION : 1)   Please go through the case reports in the links shared above and provide your critical appraisal of the captured data in terms of completeness, correctness and ability to provide useful leads to analyze the diagnostic and therapeutic uncertainties around the cases shared. QUESTION: 2)  Please analyze the above linked long and short cases patient data by first preparing a problem list for each patient in order of perceived priority (based on the shared data) and then discuss the diagno...
Read more

OSCE

  PREFINAL OSCE Pathophysiology An uninjured healthy lung contains an intact respiratory epithelial layer and alveolar space patrolled by resident alveolar macrophages. Type I and type II pneumocytes contribute to regulation of alveolar contents, including surfactant, and maintain the integrity of the alveolar-capillary barrier.  Following infection or inj ury, an influx of innate immune cells such as neutrophils and monocytes migrate from the circulation into the interstitial and alveolar spaces,  • During respiratory distress, damage to the epithelial and endothelial layers results in breakdown of the alveolar-capillary barrier and accumulation of edematous fluid and debris in the alveolar spaces. Pro-inflammatory and destructive functions of alveolar macrophages, monocytes, and neutrophils co ntribute to disease pathology.  • The consequence is the loss of alveolar-capillary barrier function. This disruption permits the accumulation of proteinaceous fluid in the a...
Read more