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Showing posts from May, 2020

Active learning about the topic of Peripheral Neuropathy

Hello. We had been given a few cases every week to enhance our competence in the field of medicine and taught to enhance our learning by having active conversations with our peers and teachers. You can find the case details here   https://hitesh116.blogspot.com/2020/05/elog-13th-may-2020.html?m=1     and my interpretation of the case here  https://caseopinionsbyrollno156.blogspot.com/2020/05/trio-of-paraparesis-cases.html   I have borrowed this excerpt fromy my peer  https://medcases.blogspot.com/2020/05/case-discussion-of-peripheral.html   The discussion around Peripheral Neuropathy went about as follows: [29/05/20, 8:48:46 PM] Student1: What is the reason for norwegian scabies in this case? And since he tested negative for all. [29/05/20, 8:50:27 PM] Post Residency PG1: What is the difference between ordinary scabies and Norwegian and which one did he have? [29/05/20, 8:51:08 PM] Student2: He had Norwegian scabies sir. It's more likely as he did...

Active learning of the topic Paraparesis

Hello. We had been given a few cases every week to enhance our competence in the field of medicine and taught to enhance our learning by having active conversations with our peers and teachers. You can find the case details here   https://vaish7.blogspot.com/2020/05/medicine.html?m=1  and my interpretation of the case here  https://caseopinionsbyrollno156.blogspot.com/2020/05/trio-of-paraparesis-cases.html I have borrowed this excerpt from my peer  https://medcases.blogspot.com/2020/05/case-discussion-on-paraparesis-case.html   We were given 3 cases of paraparesis with very different etiologies. But in the journey of reaching the diagnosis we came up with a lot of questions. Here's  a peak [29/05/20, 8:38:56 PM] Student16: 1.WHAT IS THE REASON FOR  Elevated Liver enzymes and reduced Creatinine and Lymphocytes ; Frequent Change of Position recommended to the patient ; Rt sided reflexes being more pronounced than left sided ? Does is have anything t...

Active learning on Myocarditis

Hello. We had been given a few cases every week to enhance our competence in the field of medicine and taught to enhance our learning by having active conversations with our peers and teachers. This case discussion is based on Myocarditis. You can find the original case details here    https://madhur116.blogspot.com/2020/05/on-1452020.html?m=1   and my case analysis here   https://caseopinionsbyrollno156.blogspot.com/2020/05/fighting-for-breath.html . I have  borrowed this excerpt from my peer  https://medcases.blogspot.com/2020/05/case-discussion-on-myocarditis.html   Here is an excerpt of the conversation: [30/05/20, 4:22:19 PM] Student7:  Few doubts i got while writing the case: 1.Is the mitral regurgitation in this case secondary to left ventricular dysfunction or is it the regurgitant valvular disease that is causing the heart failure? 2.What are the long term complications of using diuretics? [30/05/20, 4:32:57 PM] Student23: Mitr...

Fighting for breath

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Hello. I am  a 4th year MBBS student who's trying to enhance her competency in the field of medicine.   I've been given these three cases data here http://medicinedepartment.blogspot.com/2020/05/re-case-based-online-learning.html    to solve in an attempt to understand the topic of "Breathlessness".

Trio of Paraparesis cases

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Diagnosis of a case begins right from when a patient enters the clinic,more so in  cases of paraparesis . Many things which are probably unsaid by the patient are "given away" by the patient's gait, ability to walk or drag his leg. Lets explore on how to evaluate a patient with paraparesis.  T he following structures are generally involved in causing paraparesis: Upper motor neuron lesion: Cerebral cortex                                               Brainstem                                               Spinal cord (axons travelling upto ventral horn) Lower motor neuron lesion: Anterior horn cell                                             ...

14th May E log

I have been given this case to solve and interpret to enhace my competency and as an attempt to understand the topic of  "patient clinical data analysis". You can find the entire clinical problem of the patient in this link  https://classworkdecjan.blogspot.com/2019/05/42-f-with-severe-regular-edema-with_17.html   This is my understanding of the case:   The problems that I found she was battling with the most are : 1. Even though she has gotten used to not being able to breathe properly, I would place her difficulty to breathe on the top. 2. Swelling on contact with smoke, ingestion of certain foods and instanly on exercising. 3.Migraine with aura 4. She doesnt urinate or sweat a lot. Reasoning:  1. Asthma : I suspect asthma in this pateint as she has recurrent episodes of inability to breathe which is exacerbated on exercising in presence of smoke and ingestion of certain foods. It fits because of her predisposition to atopy. Also, she mentions that she has 'l...