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BIMONTHLY ASSESSMENT NOV-2020

1) " 55 year old male patient  came with the complaints of  Chest pain since 3 days Abdominal distension since 3 days Abdominal pain since 3 days and decreased urine output since 3days and not passed stools since 3days  https://sreejaboga.blogspot. com/2020/11/is-online-e-log- book-to-discuss-our.html?m=1 Intern's presentation:  https://youtu.be/Pn5tidICB8A PGs discussion:  https://youtu.be/9caUzjXYuqo a) Where are the different anatomical locations of the patient's problems and what are the different etiologic possibilities for them? Please chart out the sequence of events timeline between the manifestations of each of these problems and current outcomes.  A.  ANATOMICAL LOCATIONS WITH ETIOLOGY: GIT (Pain abdomen) : Etiology: Pancreatitis secondary to ? chronic alcoholism KIDNEYS (Oliguria) : Etiology: AKI (pre renal due to fluid loss in.             pancreatitis)      Sepsis induced ATN HEART / LUNGS (SOB) : Etiology: AKI leading to fluid overload and heart failure. Pan
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35YR OLD MALE WITH? KARTAGENER SYNDROME

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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 patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs.  This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box is welcome. Here is a case i have seen in :  35 year old man, working as a cook in Hyderabad presented to our casualty at 3am with the chief complaints of  Palpitations since 3 months  Headache since 3 days Neck pain since 3 days Giddiness since 1 hour Vomitings since 1 hour   He was born in Nalgonda district to a coolie and a homemaker He is 3rd in birth order. He has an elder sister and brother who are farmers and a younger brother who is a rickshaw driver. He studied until 5th
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65YRS OLD MALE WITH PAIN ABDOMEN

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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 patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs.  This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box is welcome. Here is a case i have seen: A 65 yr old male came with complaints of Pain abdomen since 7 days Patient was apparently asymptomatic 7 days back then he developed pain abdomen in the umbilical region which was insidious in onset and gradually progressive after a binge of alcohol 3 days back,  stabbing type of pain,   relieves on taking medication, no aggravating factors, no radiation.  No h/o vomiting, loose stools No h/o chest pain, palpitations, sob PAST HISTORY :  Sim
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PT AND APTT

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1. COLLECT BLOOD IN BLUE VACUTAINER 2. PUT THE BLOOD IN TUBE AND KEEP IN THIS TO SEPARATE SERUM FROM PLASMA 3. TAKE ANOTHER TUBE WITH UNIPLASTIN FOR PT   LIQUICELIN-E FOR APTT 4. KEEP THE TWO TUBES IN HOT AIR OVEN  TAKE THE TUBES OUT  5. NOW TAKE THE BLOOD WITH THIS PIPETTE 6. NOW ADD THE BLOOD INTO THE TUBE CONTAINING REAGENT EVERY SECOND AND COUNT THE TIME WHEN BLOOD CLOTS.  7. NORMAL PT : 10-16 sec          NORMAL APTT : 24-33 sec
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