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INTERNSHIP ASSESSMENT

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UNIT DUTY:- (1) 36 yr old female with fever http://vishaladhani148.blogspot.com/2022/09/36-yr-old-female-with-fever.html (A) What are the warning signs & evidence which proves that she has severe dengue?  (a) warning signs include- Abdominal pain  & persistent vomiting.     Severe dengue include- elevated liver enzymes &raised PCV.  (B) what could be the reason for her elevated liver enzymes?  (a)  People also ask Why do liver enzymes increase in dengue?  H epatocyte apoptosis directly by the virus, hypoxic damage due to impaired liver perfusion resulting from fluid leakage, oxidative stress or immune mediated injury  .  (C) What  are the evidences to say that she landed up in ARDS?  (a) clinically she developed shortness of breath. Her saturation also reduced.  Xray showing B/l pleural effusion.  Pao2/fio2 ratio- 252 MILD ARDS (2) 70 yr old female with SOB?  http://vishal...
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13 year old female with fever and headache

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A VISHAL 1701006001 This is an online E log book 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 available global online community of experts with an aim to solve those patient's 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 13 yr old female came to the opd with chief complaints of fever & headache since 10 days HOPI:- Patient was Apparently asymptomatic 10 days back then she developed fever which was continous & high grade associated with chills & rigors . No H/o burning micturition ,nausea , vomitings,loose stools,Malena,Hematuria,cold,cough, SOB. PAST HISTORY:- Not a k/c/o HTN,DM,Thyroid,epilepsy,CAD. EXAMINATION patient is c/c/c No pallor, icterus, cyanosis, clubbing, ...
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70yr old female with sob

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A VISHAL 1701006001 This is an online E log book 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 available global online community of experts with an aim to solve those patient's 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 Our. 70Yr old female patient came to the opd with chief complaints of  1)Blisters & swellings in the right lower limb Since 10 days  2)SOB since today evening. HOPI:- Patient was Apparently asymptomatic then she developed swellings  of right lower limb which insidious in onset & gradually progressive associated with redness and then she developed pain which is insidious in onset &. Were increased & spreading till the thigh & later at home patie...
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