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159 Ravali Irugurala

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              General medicine                                        11/11/22 This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's  consent. This E log book also reflects my patient-centered online learning portfolio and your valuable inputs in the comment box below. Note : This is an ongoing case and will be updated regularly.  Date of admission: 9/11/22 Case presentation: A 14 yr old boy came to the opd with complaints of  pain abdomen  in the left side of the abdomen since the past 15-20 days Chief  complaints:   He was having pain abdomen and noticed a swelling in the left side of the abdomen since the past 15-20 days. HOPI: Patient was asymptomatic till 9 years of age. At 9 years of age August, 2016 - parents noticed neck swelling and he had difficulty i...
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159 Ravali Irugurala

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 General medicine                                                             12/11/22 This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's  consent. This E log book also reflects my patient-centered online learning portfolio and your valuable inputs in the comment box below. Date of admission: 12/11/22 Case presentation: Chief complaints: 40 year old female came to the casuality with complaints of fever since 1 week and pain in abdomen since one week  HOPI: Pt was apparently asymptomatic 1 week back then she developed fever which was continuous, low grade associated with chills and relives on medication.  Pt has abdominal pain since 1 week which is  diffuse type Decreased urine output since 3 days Nausea,vomiting since 2 days 4-5 episodes/day, subsi...
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pre final OSCE Learning points

PRE FINAL OSCE LEARNING POINTS  05/12 /23  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 common risk factors that predispose a patient to dialysis dysequilibrium syndrome are  First hemodialysis trea...
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