general medicine internal assessment

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A 30 yrs old female with extension of neck since 2 days

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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 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. A 30 yr old female resident of adividevulla,came to OPD with cheif complaints of neck stiffness since 2 days. HISTORY OF PRESENTING ILLNESS:- Patient was apparently asymptomatic 2days back then she developed ne
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45 yr old male patient with reccurent acute pancreatitis and alcohol dependence 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 CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT  CHIEF COMPLAINTS-  C/o itchy skin lesion on left foot since 10 yrs which initially started as a papule  C/o pain in the abdomen since 3 days C/o constipation since 3days C/o vomitings since 2days HISTORY OF PRESENT ILLNESS-  Pt was apparently asymptotic 2days ago then he developed pain in the abdomen-epigastric region. Pain is sudden in onset, gradually progressive. Pain increases more after eating food and on lying in supine position. Pain is relieved on sitting position and on bending forward.  H/o 3 episodes of vomiting yesterday after eating food. Content- food, non bilious, non projectile, not blood tinged
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OSCE -learning points -prefinal examination

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OSCE learning points -prefinal examination  What is dystonia? Dystonia is a very complex, highly variable neurological movement disorder characterized by involuntary muscle contractions. Dystonia results from abnormal functioning of the basal ganglia,a deep part of the brain which helps control coordination of movement. Dystonia may be inherited, acquired, or idiopathic (no known cause). Inherited disorders are transmitted genetically. In acquired forms, dystonia is caused by damage or degeneration of the brain (e.g. after a brain injury or stroke) or exposure to particular drugs. In idiopathic dystonia there is no identifiable cause and no structural damage or degeneration to the brain. Dystonia classification. Childhood onset – 0 to age 12 Adolescent onset – age 13 to 20 Adult onset – older than age 20 Focal dystonia Focal dystonia is limited to one area of the body and can affect the neck (cervical dystonia or spasmodic torticollis), eyes (blepharospasm), jaw/mouth/lower face (oroma
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