1 st internal assessment marks

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A 38 year old male with fever ,headache and vomiting

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2k 18 MBBS  is an a 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 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 E blog also reflects 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 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. Chief complaints - 38 year old male came to the Hospital with the chief Complaints of  * Fever since 1 week * Headache since 5 days * Nausea and vomiting since 2 days  History of present illness Pa...
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Evidence based date wise workflow logs collated by the intern with clickable and verifiable links

Case 1 [21/11, 11:02] Vineela: 21/11/23 ICU  Vitals  Bp-160/90 mm hg Pr-98bpm Rr -20cpm Temp-99.4 F GRBS-87MG/dl  I/O-2000/100ml Examination  RS-BLAE ,NVBS CNS-NFND CVS-S1 S2 heard no murmurs  P/A-Soft  NT Diagnosis-Type 2 DM,K/C/O  CAD S/P CABG I 2020,K/C/O HTN,AKI on CKD ,Diabetic foot ulcer ,candidial intertrigo +frictional dermatitis Treatment- 1.Oxygen inhalation to maintain saturation greater than 95% 2.Injection Meropenem 1gm IV/BD (12th hrly) 3.Injection linezolid 600mg IV/BD(12th hrly) 4.Tab ecospirin 75mg od 5.Ryles feeds-100ml water-2nd hrly                           50ml milk 3th hrly 6. TAB clopidogrel 75mg RT /OD  7.TAB Atorvastatin 40mg RT/OD 8.Inj Dopamine infusion 2.5mg/min/ 9.inj pcm 1g IV/SOS 10.Inj pantop 40mg IV/OD BBF  11.TAB Pcm 650mg po/8hrly 12.TAB Acebrophylline 100mg rt/12 hrly 13.TAB Nodosis 500mg rt/bd 14.TAB Shelcal CT rt/od 15.Cap BIOD3 RT/Once a w...
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