2nd Internals


N.Jasmisri
Roll.no.91
8 th sem
















































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OSCE

As part of my prefinal exam on 01Dec,I presented a case of 25 yr old female with NS1 positive dengue( link is shared below-case blog) https://91jasmisri.blogspot.com/2023/11/25-year-old-female-with-dengue-ns-1.html Learning points:- -I have learnt that Regular Bp monitoring importance in dengue - I have also learnt the importance of investigations like hess test, hemotrict value ,platelet count monitoring -Pathogenesis of platelets detoriation in dengue OSCE questions:- Treatment options other than iv fluids in dengue https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3411372/ ▪︎ Immunomodulation ▪︎ Corticosteroids :-recent retrospective study showed some benefit with methylprednisolone in patients with severe dengue.There is a clear need for adequately powered, randomized, double-blind, placebo-controlled clinical trials in both children and adults to evaluate fully the possible benefit or lack of benefit of corticosteroids in dengue infection. ▪︎ Intravenous immunoglobulins :-One importa
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25 year old female with dengue NS 1 positive

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Greetings to one and all who are currently reading my blog. This is Jasmisri, 9th semester medical student This is an online E - log book to discuss our patients 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 portfolio and your valuable inputs on the comment box. 25 yr old female housewife by occupatipn resident of nalgonda came to general medicine OPD with  Chief complaints: - Body pains since 6 days Fever since 3 days History of presenting illness:- Patient was apparently asymptomatic 6 days back then she started developing body pains insidious in onset ,gradually progressive, dragging type symmetrical in nature small joints are involved more not associated
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BLOG

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 CASE OF 70 YR OLD MALE  Greetings to one and all who are currently reading my blog.  This is Jasmisri,fifth semester medical student This is an online E - log book to discuss our patients 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 portfolio and your valuable inputs on the comment box. . CASE:- A 70 year old male shepherd 3 yrs back (Toddy seller 30yr back) by occupation from yadhagiri  CHIEF COMPLAINTS Pedal edema 20 days HISTORY OF PRESENTING ILLNESSV Patient was asymptomatic 35yrs back  Bouts of cough  with sputum ( sputum is same as morning normal sputum)since 15  days (stopped after stopping of taking chutta) Edema of legs ,face, hands relieved on app
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