MY EXPERIENCES WITH GENERAL CELLULAR AND NEURAL CELLULAR PATHOLOGY IN A CASE BASED BLENDED LEARNING ECOSYSTEM'S CBBLE "
"MY EXPERIENCES WITH GENERAL CELLULAR AND NEURAL CELLULAR PATHOLOGY IN A CASE BASED BLENDED LEARNING ECOSYSTEM'S CBBLE "
I am N.Vinil Reddy an intern at Kamineni Institute of Medical Sciences. This is an e log where I discuss about the various cases I have seen during my UG and internship period .
CBBLE PAJR PARTICIPATORY LEARNING ACTION RESEARCH DISCLAIMER
NOTE: THIS IS AN ONLINE E LOGBOOK 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 A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS INTENDING TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT.
My first case and experience about a 58 yr male with c/o swelling of B/L lower limbs .
My first patient interaction had occurred during the medicine postings of 3rd semester. There is a 58yr old male patient lying on the bed in the nephrology ward , after introducing myself ,I proceeded to ask about the complaints of the patient . He complains of swelling of both lower limbs
Since 1week . He also complains of shortness of breath .
He is a known case of chronic renal failure for which he undergone 6-9 sessions of hemodialysis .
On examination I had come to know that he also has pallor .
He is on tab. Nodosis 500mg Po/BD , tab arkamin 0.1 mg Po/BD for HTN, tab shelcal 500mg Po/OD
As a 3rd sem student i had limited knowledge and had doubts related to all the history given by him and their inter relations so i had went through some of the online sources which had given me a knowledge regarding them.
My learning :
because of this patient I had learnt that swelling of legs and shortness of breath are the symptoms of CRF . And also I had searched about the differentials for the given symptoms and I get to know that these symptoms can also be seen in Heart failure patients . I also learnt about the importance of the history taking and how to interact with the patient . I had also learnt about the importance of hemodialysis and complications of dialysis.
Case link of the above mentioned case :
https://vinilreddynallamdompallyrollno101.blogspot.com/2022/08/55-yr-old-patient-named-p.html
A 80 YR OLD MALE PAYIENT WITH C/O FEVER SINCE 8 DAYS AND DRU COUGH SINCE 5 DAYS.
This is a case of 80yr male patient came to opd with c/o fever and dry cough
Fever is of low grade type and it is on and off and it is not associated with chills and rigor . After which he developed dry cough . Not associated with difficulty in breathing. As fever and dry cough can occur due to lung infections like pneumonia we had sent for chest x ray which came out as normal . On seeing his cbp report I had come to know that his platelets counts are low . On seeing this we had sent investigations for dengue infection which came out to be negative .
This patient is diagnosed as viral pyrexia with thrombocytopenia.
My learning : I had learnt that even though there is thrombocytopenia it is not necessarily mean dengue infection as I thought in my 1st year.
I also came to know about the causes of the thrombocytopenia . And I also learnt about the different types of fever like continuous or intermittent fever , low grade or high grade fever malarial or typhoid fever etc..
For further details regarding the case plaese visit below link :
This is a case of 55yr old male patient with c/o fever since 14 days , breathlessness since 7 days , right side chest pain since 7 days .
Fever is of insidious in onset and gradually progressive, on and off type not associated with chills and rigor . Also complains of breathlessness which is insidious in onset and gradually progressive and relieved on lying to left . Also complains of right sided chest pain which is intensified on deep inspiration . Complains of non productive cough since 7 days . he was diagnosed has pleural effusion .
He was examined and investigations are done .
On examination there is the shift of tracheal position to right , stony dullness in the left infraclavicular and mammary region .
On x ray there is loss of costophrenic angle .
Pleural tap was done for this patient :
Pleural tap:
Volume 2ml
Colour yellow
Appearence clear
Cells 160cells/cc
Pleural fluid ADA :28U/L
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