PRE- FINAL PAPER 1

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4) Case based OSCE along with Bloom's learning levels acheived .

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  4) Case-based OSCE along with Bloom's learning levels achieved. TODAYS OSCE:-  Firstly it was in OP where I was assigned a case to be seen on an OP basis  A young male patient was sitting outside opd waiting. He had a history of falls from a bike 3 days ago and  Had developed pain in the right side of chest and bilateral tmj joint There was no history of loss of consciousness; seizures; ENT bleeding; bowel incontinence or bladder incontinence  Not a known case of HTN; CAD;    DM ; CVA ; TB ; EPILEPSY  ON EXAMINATION:-  Respiratory rate:- 14 CPM  RESPIRATORY EXAMINATION:-  Inspection:- no scars ; sinuses ; engorged veins  Palpation:- equivocal movement of all parts of the chest  Percussion:- resonant note is heard all over  Auscultation:- bilateral air entry present ; NORMAL VESICULAR BREATH SOUNDS ;  DIAGNOSIS:- MUSCULOSKELETAL INJURY SECONDARY TO TRAUMA  ( no signs of pneumothorax)  Plan:-  reas...
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1) Self reflective writing on their medical student career 

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  I AM K NIKHIL SAI OF the 2018 batch presently 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://nikhilsaikarnatirollno69.blogspot.com/2023/09/a-85-year-old-male-patient-came-with.html This is me Nikhil posted in the medicine department on August 15 Th and was sitting in the casualty on my 2 nd day of posting i.e.,  And was terrified to see a patient coming to the casualty with shortness of breath for 2 days  morning. Complaints of bloating since yesterday  Complaints of decreased urine ...
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  MY INTERNSHIP:-   I am posted in the medicine posting from 31st July to 30 Sept  Of this  PSYCHIATRY:- 31st JULY    to 14 AUG  MY PSYCHIATRY:-  I came across a patient, who was diagnosed with DISSOCIATIVE DISORDER. Diagnosis DISSOCIATIVE DISORDER Case History and Clinical Findings CHIEF COMPLAINTS: EPISODES OF STIFFNESS AND PAIN IN THE LIMBS, INVOLUNTARY MOVEMENTS OF THE BODY SINCE 15 DAYS THESE EPISODES WERE ASSOCIATED WITH MAKING ANIMAL SOUNDS FOR 5 DAYS BACKGROUND HISTORY: ABOUT 5 YEARS AGO, THE PATIENT STARTED HAVING POSSESSION EPISODES ON FESTIVALS. EACH EPISODE LASTED FOR ~15 MINUTES AND SUBSIDED ON IT'S OWN. PERSONAL STRESSORS + ABOUT 10 MONTHS AGO, HE HAD AN EPISODE OF INVOLUNTARY MOVEMENTS OF THE BODY AND STIFFNESS OF LIMBS AT NIGHT FOR WHICH HE WAS IMMEDIATELY TAKEN TO A HOSPITAL. AFTER RULING OUT THE MEDICAL CAUSES, THE PATIENT WAS REFERRED TO A PSYCHIATRIST AND HAS BEEN ON REGULAR TREATMENT SINCE THEN. HE WAS MAINTAINING WELL ON THE ...
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