MBBS 2K16 BATCH GM UNIVERSITY PRACTICAL EXAM CASES

  SHORT CASE FOR PRACTICAL EXAMINATION A 25 year old female patient , tailor by occupation, hailing from Thummelagudam, came to the OPD at 7.30 am with chief complaints of vomiting and loose stools since 3 am the previous night. HOPI: Patient was apparently asymptomatic few hours back when she developed vomiting- 20 episodes, sudden in onset, non bilious, non projectile, with mainly water as content. It was associated with burning type of pain abdomen involving all the quarters. Also associated with loose stools- 6 episodes, watery in consistency, not associated with blood or mucus. H/o burning micturition since 3 days. No h/o fever and intake of food from outside, decreased urine output. Past History: History of similar complaints 1 year back. History of Urinary tract infection- 3 episodes in the last 8 years. Not a known case of Diabetes melitus, hypertension, TB, Asthma, CAD, Epilepsy. Surgical History: 2 previous LSCS General Examination: Patient is conscious, coherent, co-operativ

  LONG CASE FOR PRACTICAL EXAMINATION " 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" A 50yr old Male from Dhaamera came to the OPD with the chief complaints of swelling in face and both the legs since 3 months . HOPI  : The patient was apparently asymptomatic 1 year ago when he developed Oliguria - insidious in onset and gradual in progression since 1 year. Facial puffiness- insidious in onset and gradually progressive since 3 months Pedal edema - bilateral, insidious in onset and gradually progressive since 3 months t

  1601006199 - short case This is an online e logbook to discuss our patients deidentified health data shared after taking her/guardian's signed informed consent Here we discuss our individual patient problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs This E log also reflects my patient centre’s online learning portfolio and valuable inputs on the comment box is welcome. 35 year old male patient, resident of ramchandrapuram, works as a daily wage labourer, a chronic smoker (1 pack of beedi every 2 days) and a chronic alcoholic (90ml daily) since 20 years presented with a 3 month history of painless papules with erythema that started initially over the face then gradually extended to upper limb, low limbs and trunk  No hypodense lesions  No fever  No pus No loss of sensations No genital lesions  Patient got over the counter  topical cream, soap an

  A 50 year old female with joint pains  A 50 year old female came to the OPD with chief complaints of pain and stiffness in several joints since 1 year. History of present illness : She was apparently asymptomatic 10 years ago, then she developed a dulling aching type of pain and stiffness in her finger joints(MCP joints) of right hand with limitations of movements at the joints.  Then within 6 months of onset the disease progressed to involve other joints of the right hand and left hand as well( wrist joint and elbow joint)  Within 4 years of onset she started feeling pain in the joints of the feet and ankle joint.  Since 3 months the pain became unbearable limiting  her activities The pain was insidious in onset, slowly progressive dull aching type of pain, non radiating, associated with swelling, stiffness and limitations of movements in the involved joints. Stiffness and pain was more in the first 1 hour of waking up and gradually improved on movement. There are few exacerbations