GM internal answer sheet - 2

           K. Rithika Vasantha
            Roll no 59
            GM internal paper - 2



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K. Rithika 59

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Greetings to one and all who are currently reading my blog. This is Rithika, 8th semester medical student.                                               This is an online e-log book to discuss our patient's de-identified health data shared after taking his/her/guardian's 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.  Note : This is an on-going case and will be updated as and when I receive any information.  CHIEF COMPLAINTS Patient came with chief complaint of cough since  7 Days, Fever since 7 days, with difficulty in breathing since 7 days HOPI Fever since 15-days high grade-not associated with chills and rigor, evening rise + Associated with sweating Cough since 7- days associated with less amount of sputum, mucoid. blood tinged aggravated on changing position from l
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PREFINAL EXAMINATION OSCE LEARNING POINTS

My case for today was a case of acute cervical dystonia. Was a quite interesting case which I saw in the recent times.               Different diagnosis were considered for it like   Tetanus   Focal seizures   Drug induced dystonia     Now my learning points were:     - With so many differentials in mind, how to land up in a particular diagnosis    - Why drugs cause dystonia in a few and doesn't in the other?        Let's dig deep to know how🙂 Focal dystonia Focal dystonia is limited to one area of the body and can affect the neck (cervical dystonia or spasmodic torticollis), eyes (blepharospasm), jaw/mouth/lower face (oromandibular dystonia), vocal cords (laryngeal dystonia) or arms/legs (limb dystonia). Other less common types of focal dystonias can cause unusual stretching, bending or twisting of the trunk (truncal dystonia) or sustained contractions and involuntary, writhing movements of the abdominal wall (abdominal wall dystonia). Symptoms Dystonia affects different peop
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59 K. Rithika Vasantha

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Greetings!! I'm Rithika, a third semeter medical student. This blog aims at providing a wide array of information of cases evaluated to the best of my understanding. This blog paces up with spectrum of patient centered active learning under the guidance of my experienced seniors.  A 65 YEAR OLD FEMALE WITH HYPOGLYCEMIA  SECONDARY TO THE PRESENCE OF CANCER Date of admission: On 5.7.21 Note : The following blog aims at discussing our patient's deidentified health data shared after taking the guardian's signed consent.  This blog is prepared under the guidance of Dr. Siddharth.  A 65 year old female came to the casuality in altered state at 3 am.  CHIEF COMPLAINTS : • Slurring of speech and profuse sweating since a day before (4. 7.21) , (from evening).  • And at around 3 am, was brought to casuality in unconscious state, responding to deep stimulation and LOC + HISTORY OF PRESENT ILLNESS : • Pt was apparently asymptomatic since yesterday evening 4 pm.  • Pt had episodes of sl
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