INTERNAL ASSESMENT-2

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60 Year Old Female with CKD on Maintenance Haemodialysis......

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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. December 03, 2023 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. A 60 year old female resident of suryapet farmer by occupation came to the OPD with CHIEF COMPLAINTS : Swelling of both legs since 20 days Breathlessness since 2 days  HISTORY OF PRESENT ILLNESS Patient
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OSCE- PREFINAL

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OSCE AND LEARNING POINTS: December 04, 2023 Blog link :  https://143vankadothsaiteja.blogspot.com/2023/12/60-year-old-female-with-ckd-on.html OSCE QUESTIONS : Preload and Afterload: Preload : Preload is volume of blood received by the heart. Basically preload is stretch.It is the ventricular stretch at the end of diastole. Occurrence : during diastole Depends on : The amount of ventricular filling. Preload is a volume. Affecting factors : venous blood pressure and the rate of  venous return.  Afterload :  Afterload is the pressure that the Chambers of the heart must generate in order to eject blood out of heart. Occurrence : during systole Depends on : The arterial blood pressure and vascular tone. Afterload is a pressure. Affecting factors : systemic vascular resistance and pulmonary vascular resistance  J VP WAVES : JVP waveform The JVP has its own waveform which consists of 5 parts: A wave X descent (part 1) C wave X descent (part 2) V wave Y descent https://gramproject.
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General Medicine -Month of July

BIMONTHLY BLENDED ASSESSMENT - JULY,2021... Name : VANKADOTH SAI TEJA Roll.no :143 The following is a link to the assignment which I have been given for a monthly progress evaluation scheme. Link to the assignment:  http://medicinedepartment.blogspot.com/2021/07/medicine-paper-for-july-2021-bimonthly.html?m=1 QUESTION-1 Peer review: Review the last assignment of the person closest to your roll no. Example: If you are roll no. 10 review 11 or 9. Give positives, negatives, or comment on relevancy of the answers.  https://145dilliswar.blogspot.com/2021/07/145-dilliswar.html For the peer review I have choosed Roll.no:145 (V.Dilliswar).The e-log was informative and easy to comprehend to the point. Points are precised and well written. The usage of the text would be better. All the questions were answered and All the sub-questions have been answered in a detailed and comprehensive manner.It would be better if he use colours in the main headings and for the highlighted text, so we can glance
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