GENERAL MEDICINE 1ST INTERNAL answer sheet

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Prefinal long case-83 yr old male with shortness of breath with pneumonia

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I'am P .madhav, a medical student. This is an E-Log , that depicts the patient centered approach for learning medicine. This has been done after taking consent from patient and their relatives. Here , we discuss our individual patient's problems through online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs. 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. The patient/ attender was informed the purpose of the information being acquired. An informed cons
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osce prefinal exam

 I have tried to answer some of the questions regarding case discussion of our patient    1. How to clinically differentiate between coarse and fine crepitations ? Ans-  well, crepitations or crackles  are adventitious respiratory sounds which occur when an obstructed airway due to accumulated  secretions opens in inspiratory phase. The sudden opening of an obstructed airway causes an immediate re-equilibration of the pressures on both sides creating vibrations in the airway walls.  Fine crackles --  A).  having a short duration and a higher pitch,           Often, fine crackles are repetitive, originate          in the basal part of the lung, and not altered          by coughing. B) Coarse crackles  appear to be a longer                     duration and a   lower pitch.      There is no specific location from where                  coarse crackles primarily originate. They are        often altered by coughing. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5834319/#:~:text=Bronchial%20b
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65M with filariasis and multiple blisters on right leg

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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 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-centred online learning portfolio and your valuable inputs on the comment box is welcome."I've 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 a diagnosis and treatment plan 65 yr old male resident of nalgonda weaver by occupation came to OPD with  Chief complaints Swelling in the right lower limb and scortum since 5 days  Multiple blisters on the leg since 5 da
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