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PREFINAL PRACTICAL OSCE LEARNING POINTS                                December 4 2023.                                           Blog link.                                                                  https://141vikramadithya.blogspot.com/2023/12/60-yr-old-male.html                                                         Osce questions :                                              1) Dialysis Disequilibrium syndrome?                  Dialysis disequilibrium syndrome (DDS) refers to an array of neurological manifestations seen during or following dialysis, primarily after the new initiation of dialysis.However, it can also be seen in chronic dialysis patients who miss their regular dialysis treatments. This syndrome is thought to arise from fluid shifts during hemodialysis, causing cerebral edema and a wide variety of neurological symptoms. In continuous renal replacement therapies (CRRT), where fluid shift is limited, dialysis disequilibrium syndrome is rarely reported. The commo

60 yr old male

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  A 60 year male CKD on maintenance hemodialysis with anemia of chronic disease with hypertension. December 03, 2023 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 consent was taken from patient/ attender and there is omission of information that was requested to be omitted A 60 year old male, who is a resident of Nalgonda ,farmer by occupation came with   Chief complaints: -Pedal edema since 3 months -shortness of breath since 20 days - decreased 
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This is an 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 patient problem through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evidence input.  This E blog also reflect my patient centered online learning portfolia and your valuable inputs on the comment box is welcome.   I have been given this case to solve in an attempts to understand the topic of patient clinical data analysis to develop my compentency in reading and comphrending clinical data including history , clinical finding , investigation and come up with diagnosis and treatment plan.... A 60yr old male Carpenter by occupation came with the complaints of:- 1. Enlarged stomach since 1 month  2. Fluid retention in legs since 1 month.  (Both complaints started at the same time) History of presenting illness-  The p
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 This is an online e log of patient's de-identified health data shared after taking his/her/guardian's 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 elog also reflects my patient centered online learning portfolio        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 80 yr old male, unemployed from nampel came to opd with  C/o-    nocturia(5times/day)  Burning micturition Pain in abdomen during micturtion Dysuria since 1 day  History of presenting illness Patient was apparently asymptomatic before July 2021 Then he developed nocturia
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This is an 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.  20 year old male with involuntary upper and lower limb(seizures) CHIEF COMPLAINTS: 4 to 5 episodes of involuntary movements of upper and lower limbs (seizures)from 4 am in the morning (19/07/23) 2 to 3 minutes