INTERNAL ASSESSMENT

INTERNAL ASSESSMENT

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OSCE LEARNING POINTS

OSCE LEARNING POINTS    1. What is PUO?  Increase in body temperature more than 38.3 °C (101.0 °F) for at least 21 days or three weeks without any established aetiology (cause) after being a thorough clinical evaluation 2.Types of PUO? CLASSICAL PUO: Increase in body temperature for more than 3 weeks and duration of hospital stay is 3 days or 3 outpatient visits without detecting a cause or 1 week of thorough investigations  NOSOCOMIAL PUO: Temperature of more than 38.3 C developing on several occasions in a  Hospitalized patient in whom infection was not manifested or incuabting on admission  with 3 days of investigations including atleast 2 days incubation  of cultures NEUTROPENIC PUO: Temperature of more than 38.3 C developing on several occasions in a patient whose neutrophil count is less than 500/ microlit or expected to fall in 1-2 days . HIV ASSOCIATED PUO:Temperature of more than 38.3 C on several occasions for a period of more than 4 weeks fo...
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LIVER ABSCESS

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 Fwith an aim to solve those patient's clinical problems with collective current best evidence based inputs.  CHIEF COMPLAINTS                  - Fever since 10 days                 - Loose stools since 5 days                 - Pain abdomen since 5 days HOPI Patient was apparently asymptomatic 10 days ago then he developed fever high grade ,continuous associated with chills and rigor relieved on medication,no nausea ,no vomitings, no burning micturition.Loose stools since 5 days , 3 episodes per day very small volume liquid in consistency no blood stools,no pus in stools,non foul smelling ....
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A 45 yr old male

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 A patient who is 45 yr old male came to OPD with chief complaints of fever since 2 days and slurring of speech since 1 day and pain in both  lowerlimbs . HISTORY OF PRESENT ILLNESS     Patient is a daily wage worker by occupation  . Patient was apparently asymptomatic 2 years back then his appetite increased( about 5- 6 times a day ) for which he came to KIMS hospital and diagnosed with Diabetes.He used oral hypoglycemic drugs for first 6 months.Then from past 1.5 years he is on insulin.He was a chronic alcoholic since 25 yrs. He consumes more than 180ml / day . Urine output increased since 2 years about 10 times a day.Decreased weight about 25kg since 2 years. Then since 2 days he developed  fever which was high grade, continuous and associated with chills and rigor and also presence of neck stiffness and burning Micturition.Patient was also anemic for which he received blood transfusion   He developed slurring of speech since 1 day then he...
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