Prefinal Examination paper 2

 



















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1) Self reflective writing on their medical student career

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  This is Kandhada Tejaswini of 2k18 batch posted in General medicine department as an intern. This is an online e-log book to discuss our patient's de-identified health data shared after taking his / her / guardian's signed informed consent. Here we discuss our individual patients' problems through a series of inputs from the available global online community of experts to solve those patients' clinical problems with collective current best evidence-based information. This E blog also reflects my patient-centered online learning portfolio and your valuable input in the comment box is welcome. BLOG: https://kandhadatejaswinirollno66.blogspot.com/2023/08/a-78yr-old-male-with-prerenal-aki-left.html I was posted in GENERAL MEDICINE department  (unit 1)  from 15/08/23 to 15/09/23 Every week on Monday I used to have OPD and  Casuality night duties.On one such day when i was in  casuality a patient came with chief complaints of Swelling of left lower limb since 15 day...
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3) Anecdotal self reflections on their internship learning with some video evidence of procedures performed

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This is Kandhada Tejaswini of 2k18 batch posted in medicine department as an intern from 31st of July to 30th of September. First 15days i.e, from 31st of July to 14th of august I was posted in psychiatry. During my psychiatry posting I have seen many patients with dissociative disorder,depression,alcohol dependance,psychosis,OCD,intellectual disability…… There is this one patient diagnosed with dissociative disorder who used to make sounds of different animals like dog,cat,cow etc…. There are atleast 2-3 episodes per day and during this episode I was asked to give lorazepam and calm the patient. There is another patient who is 7yrs old diagnosed with intellectual disability came with his mother to the OPD.His mother was so worried about him.She complaints that his son will take so much time to read compared to others like classmates and siblings and also he will not remember the next day about what he read. He was asked to get IQ test done and advised counselling sessions for both the...
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36M with decreased appetite, nausea and loose stools

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  A 36 year old male patient farmer by occupation came to general medicine OPD with chief compliants of   D ecreased   appetite   since   1 year. Nausea   and  V omiting   since   6   months. Loose stools  since  6 months. Tingling sensation in his both Upper Limbs and Lower Limbs  since  10 days. HOPI  Patient was apparently alright 1 year back then initially he had decreased appatite associated with nausea which was gradually progresed to complete loss of appatite with in 5-6 months but able to still manage his daily routine activities. Then patient developed vomitings, 4-5 episodes per day , greenish , immediately after food intake. With food particles as contents. Not a/w blood in vomiting. Since 6 months patients had loose stools now increased in frequency since 2 months. 5-6 episodes per day, Watery consistency, large quantity, associated with greenish mucous with No blood in stools.  Then problem...
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