1st internal assessment

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intership assessment from 73 to 96

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13 year old female with Generalized tonic clinic seizures

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A 13 year old was brought to the casualty with chief complaints of generalized tonic clinic seizures since 6 30 in the morning Patient had episodes of GTCS ?  for 10 minutes associated with up rolling eyeballs, frothing present, tongue bite present, associated with fall (sustained head injury in frontal area)  5 to 6 episodes of GTCS with no regain of consciousness in between for 20 to 30 minutes  Each episode lasted for 2 to 3 minutes, not associated with involuntary micturition Patient was taken to a local hospital and was given midazolam and is brought for further management Associated with headache which is diffuse bilaterally,1 episode of vomiting present, no bilious, watery, ? projectile Not a k/c/o HTN,DM,Asthma History of Anti Tubercular therapy taken for 6 months 1 year back General physical examination Patient is concious,coherent, oriented to time place and person  No pallor , icterus cyanosis clubbing and lymphadenopathy Vitals on admission Temperature 98...
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A 52 year old male with giddiness,Vomitings,Loose stools 2 days back Involuntary movements of bilateral upper limbs since yesterday morning

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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 52 year old male came with the chief complaints of giddiness since 3 days  Vomitings 2 days back Loose stools 2 days back  Involuntary movements of bilateral upper limbs since yesterday morning History o...
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