General Medicine 1st internal Answer Sheet














 

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Elog GM Case 56 Mahendra

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GENERAL MEDICINE CASE Hello all. This is K Mahendra roll no 56,a third semester medical student. This an e log depicting patient centred approach of learning. This log has been created after taking consent from the patient and her family.    Date of Admission: 28-06-2021 A 52-year-old man presented to the OPD with Chief  Complaints of abdominal distension from the past 7 days. HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 2 years back, then he had a non healing injury to the right foot which raised a suspicion of Diabetes mellitus. Then they went to neatest medical care and diagnosed with Diabetes mellitus type 2 and was started on Tab. GLIMI M2 OD.  2 years back he complained of Tingling in the upper limbs up to the palms, in the lower limbs up to the knee.   15 Days back patient presented to the casualty with Abdominal Distension NOT associated with pain, No nausea, No Vomiting, No loose stools and was diagnosed with  Alcoholic Live...
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General Medicine elog

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Gm e-log July 07, 2022 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.  A 47 yr old female housewife by occupation came to OPD with chief complaints of pedal oedma  abdominal distension and shortness of breath since 2months. History of present illness: She was apparently asymptomatic 6yrs back and had generalised Body Weakness for which she came to the hospital and was diagnosed with DM-2 and was on regular medication. 2 months Back pt had pedal edema B/L below Hip Pitting type and abdominal distension for which she visited nearby hospital and was diagnosed with hypertension and hypothyroidism after necessary tests , pedal edema was su...
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PREFINAL OSCE AND LEARNING POINTS

OSCE : Tenegliptin : It is a third generation DPP-4 inhibitor used for treatment of type 2 diabetes. MECHANISM OF ACTION of Teneligliptin is to increase incretin levels (GLP-1 and GIP), which inhibit glucagon release, which in turn increases insulin secretion, decreases gastric emptying, and decreases blood glucose levels. In general incretins (glucagon like peptides) are the substances which increase insulin and decrease appetite by decreasing the gastric emptying. DPP4 dipeptidyl peptide-4 is a enzyme which converts this incretins into its metabolites Which is inhibited by teneligliptin and maintain the levels of incretins which cause insulin release and decreasing the blood glucose levels LEARNING POINTS: My learning points about this patient are - The importance taking detailed history from the patient before and after the onset of I'll health and how it affected his daily life routine  -Importance of Mechanism of action of every drug that is prescribed to the patient. -Telling...
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