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159 Ravali Irugurala
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...
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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