INTERNAL ASSESSMENT

INTERNAL ASSESSMENT

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13 yr old female

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This is online E log book to discuss our patients health data shared after taking his guardians informed consent form I have been given this case to solve in an attempt to understand topic of" patient clinical data analysis" to develop my competency in reading and comprehensing clinical data including history clinical findings  investigations and come with a diagnosis and treatment plan.  This is a case of 14 yr old female diagnosed with Sickle cell anaemia have multiple admissions for sickle cell crisis  now presented  with chief complaints of        - Joint pains more at night         - Right knee pain since 15 days         - left leg shin pain HOPI Patient was apparently asymptomatic 10 yrs back and diagnosed as Sicke cell anaemia with known history of Abdominal pain, yellowish discoloration of eyes,SOB,fever,dry cough, pleural tap  and she had  blood transfusion 15 times since childhood and had multiple episodes of sickle cell crisis  and brochopneumonia  and pancreatitis
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OSCE LEARNING POINTS

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40YR OLD MALE WITH CKD

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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.  CHIEF  COMPLAINTS PT IS BROUGHT TO CASUALITY  WITH  C/O PAIN ABDOMEN SINCE 2 DAYS         VOMITING SINCE 1 DAY         DECREASED  URINE OUTPUT SINCE 1 DAY         NO URINE OUTPUT SINCE 8 HOURS HOPI- PT WAS APPARANTLY ASSYMPTOMATIC 3 DAYS BACK THEN HE DEVELOPED PAIN ABDOMEN ; DRAGGUNG TYPE OF PAIN IN EPIGASTRIUM AND UMBILICAL REGION NOT RADIATING INCREASE WITH FOOD INTAKE DISTENTION OF ABDOMEN IS PRESENT VOMITINGS PRESENT 1 EPISODE PER DAY NOT BILIOUS AND NON PROJECTILE  NOT BLOOD TINGED DECREASED URINE OUTPUT SINCE 1 DAY NO FACIAL PUFFINESS,FEVER,BURNING MITURITION. NO H/o SOB, CHEST PAIN,BLURRING O
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