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77 yr old female

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 This is an online e log book to discuss our patient health data shared after taking his/her/guardians singned informed consent. Here we discuss our individual patients problems with an aim to solve the patient’s clinical problem with collective current best evident based input. This E blog also reflects my patient cantered online learning portfolio and your valuable inputs on the comment box is welcome.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. Case: A 77 year old female presented to  Ophthalmology opd with complaints  of  diminishion of vision in right eye. History of present illness:  Patient was apparently asymptomatic 1 year back when she had nocturia due to which she went to the hospital and was diagnosed with diabetes for which she was medication.
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Prefinal exam OSCE

Case : A 77 yr old female with uncontrolled diabetes mellitus  OSCE questions:  1)  Steroid induced diabetes mellitus Steroid-induced diabetes mellitus is defined as an abnormal increase in blood glucose associated with the use of glucocorticoids in a patient with or without a prior history of diabetes mellitus.  The criteria for diagnosing diabetes by the American Diabetes Association  is   8 h fasting blood glucose ≥ 7.0 mmol/L (126 mg/dL),  2 h post 75 g oral glucose tolerance test (OGTT) ≥ 11.1 mmol/L (200 mg/dL),  HbA1c ≥ 6.5% or in patients with symptoms of hyperglycemic, a random plasma glucose of ≥ 11.1 mmol/L (200 mg/dL) . The effect of glucocorticoids on glucose metabolism is likely the result of impairment of multiple pathways including beta cell dysfunction (sensitivity to glucose and ability to release insulin) and insulin resistance in other tissue. RISK FACTORS:  Proposed risk factors for steroid-induced diabetes beyond cumulative dose and longer duration of steroid cou
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57 yrs female with obstructive jaundice

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 57 YEAR OLD WAS PRESENTED RO OPD WITH YELLOW ISH DISCOLORATION OF SKIN,CONJUNTIVA, ABDOMINAL PAIN. July 30, 2023 This is an online e log book to discuss our patient health data shared after taking his/her/guardians singned informed consent. Here we discuss our individual patients problems with an aim to solve the patient’s clinical problem with collective current best evident based input. This E blog also reflects my patient cantered online learning portfolio and your valuable inputs on the comment box is welcome.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. This is a case of 57 year old female , housewife staying in Mathavanga , West Bengal. CHIEF COMPLAINTS: - pain in abdomen since 3 1/2 months  - tingling pain in the abdomen    - can't stand / sit wi
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2nd internal Answer sheet

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60 yrs old male carpenter

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 60 year old male carpenter July 10, 2023  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. A 60 year old male carpenter from Pavampur came to the hospital with-  Chief complaints of-  1. Abdominal distension since 1 month  2. Generalized swelling of lower limbs since 1 month.  Histo
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