NV PRATHYUSHA ROLL NO 100

 This an a 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. This E blog also reflects my patient centered 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 plan. CHIEF COMPLAINTS: A 62 year old female came with chief complaints of vomiting since last night  HISTORY OF PRESENTING ILLNESS Patient was apparently alright until last night then  had vomitings food as content

 INTERNSHIP LEARNING AND PROCEDURES PERFORMED This is prathyusha posted in medicine department from October 1st to 30 th November.   From 1st of oct to 15th October I was posted in peripherals Icu, nephro, ward In icu-  During my icu, amc duties  -I monitored vitals of patients every hourly -Took abg samples -put ryles tube for feeding -foleys catheterization - Done CPR in the icu - blood transfusion  In nephrology postings : Assisted in central line procedure and done suturing Monitored patients undergoing dialysis  Learnt about dialysis procedure In ward - took blood samples, monitored vitals  I was posted in psychiatry from 16th to 30th October In the OP saw cases of schizophrenia, Alcohol dependence syndrome, obsessive compulsive disorder.  Used to monitor patients in the De addiction center. One of the admission during my posting  Diagnosis - panic attack A 19 yr old male came to op with chief complaints of Increase in heart rate, hearing his own heart beat, fear of dying since 2

  SELF REFLECTIVE WRITING ON MY MEDICAL STUDENT CAREER  Welcome to my blog!!  This is prathyusha posted in general medicine department here to share few experiences in my medicine journey . To start with my 3rd sem my very first experience with the clinics, It was very overwhelming pretty much the entire year. I learned a lot in the classroom and clinics, but struggled with the volume of information that we had to know. But then with the help of my pgs , faculty got to know how to approach and take the case history step by step .  My very first case a 19 yr old female with developmental delay and dextrocardia who was brought by her mother with complaints of lack of weight and height since her childhood . I remember how my pgs taught me how to do  mental status examination and sexual maturity rating . Here's the link-  https://nvprathyusha100.blogspot.com/2022/08/a-19-yr-old-female-with-lack-of-growth.html Learning points- Dextrocardia Mini mental status examination Kartengener syn

 EVIDENCE BASED DATE WISE WORKFLOW LOGS  CASE 1 9/11/2023 PAJR link https://chat.whatsapp.com/D4GwL7frFWfAEuJbMXbNW8 Case report link  https://nvprathyusha100.blogspot.com/2023/11/31-yr-old-female-with-fever-since-5.html?m=1 A 31 year female came with chief complaints of fever since 5 months. Fever is high grade associated with chills and rigor , intermittent in nature, No diurnal variation It is associated with vomiting , food as content , no bilious , non projectile , no blood stained   H/o loss of appetite & weight loss  H/o burning sensation over the tongue and buccal mucosa since 3-4 months, insidious in onset, gradually progressive, aggravated when patient consumes spicy food and no relieving factors No h/o cough, cold No h/o chest pain , sob, orthopnea, pnd No h/o loose stools, constipation No h/o burning micturition, increased/decreased urine output. Not a k/c/o of HTN, DM, asthma, TB, epilepsy, CVA, CAD Vitals :  PR  : 76 bpm BP : 110/70 mmHg  RR : 20 cpm Temperature : 101

This an a 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. This E blog also reflects my patient centered 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 tre atment plan. CHIEF COMPLAINTS : Patient came with chief complaints of       -Burning micturition since 1 month      -Itchy skin lesions all over body since 1 month      -Difficulty in urination since 2 weeks. HISTORY OF PRE

  This is an a 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. This E blog also reflects my patient centered 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 plan The patient/ attender was informed the purpose of the information being acquired. An informed consent was taken from patient/ attender and there is omission of information that was requested to be omitted.