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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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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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INTERNAL ASSESMENT-2

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65 year old female with uncontrolled diabetes

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65 year old female with uncontrolled diabetes on July 25, 2023.   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 65 year old female daily labourer by occupation,resident of suryapet came to the opd with chief complaints of Fever and SOB since 3 days. HOPI Pateint
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A 21 year old female with anemia

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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 portfolio 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 competency in reading and comprehending clinical data including history , clinical finding , investigation and come up with diagnosis and treatment plan CASE: 21 year old female came to gm op with chief complaints of easy fatiguability ,light headedness since 7 years  C/o sob since 7 years ( sometimes )  No c/o Fever, burning micturation,vomitings, loose stools  No c/o involuntary move
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