MY EXPERIENCES WITH GENERAL CELLULAR AND NEURAL CELLULAR PATHOLOGY IN A CASE BASED BLENDED LEARNING ECOSYSTEM'S CBBLE

 This is Vishnu Teja studying in medical college, Kim’s sharing my experiences in taking cases and interacting with patients . I'll be sharing few of my experiences in the general medicine department clinical postings, but before that I'd like to thank our mentors and HOD sir. I  learned a lot from general medicine right from the start where it actually began was in my 3 rd semester , I took my first case and then I learned how to ask questions how to take history what to write a case proforma . We had an open platform where we could discuss things and we approached our HOD sir and seniors directly many times where our doubts were cleared with an open mind without any judgement. I learned a lot - how to diagnose a case and how to treat patients and how important it is to know about each and every investigation .and very importantly this blogs and case presentation has helped me so much to gain knowledge and know about my patients . 

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.

Case 1 :

He was an 50 year old male admitted to OPD with chief complaints of bilateral knee joint pain and swelling of the knee and ankle joint. He was active and oriented to time, place and person. He was self admitted and told me the history of his illness that is pain in joints (initially ankles , knees , wrist and elbows ) , the initial pain originated in the wrist, accompanied by swelling and limited flexibility at the metacarpophalangeal joint. Within 1-2 days, the pain shifted to the elbow, resulting in incomplete flexion and swelling. Subsequently, the pain traveled to the shoulder, causing challenges in lifting and abducting the shoulder. This pattern of pain and involvement alternated between the hands, meaning that when one hand was affected, the other remained unaffected.in this particular case I learnt how to take history , present cases , and also to examine and investigate the patient .after all the examination and investigations done , my patient was diagnosed with anemia and rheumatoid arthritis seronegative , with hyperurecemia.

The case presentations in front of Dr Rakesh biswas sir helped me learn a lot of things and I learnt how to investigate more and know better about patients.I also overcome fear of public speaking and was confident after my presentation. 

The link for the case is given below:

https://uvishnuteja161.blogspot.com/2023/06/a-50-year-old-male-came-with-complaints.html 

Case :

Recently, I came across another intriguing case that caught my attention. A 60 year old male, labourer by occupation, came to casualty with chief complaints of cough since 10 days, shortness of breath since 10days and chest pain since 10days 

The patient's medical history reveals that they were asymptomatic five days prior to the current presentation. However, they subsequently developed a sudden-onset, continuous, and progressively worsening dry cough, predominantly occurring at night. Interestingly, the coughing episodes were accompanied by dark orange-colored vomit, which exclusively occurred during the intake of water. These vomiting episodes were non-projectile, occurring three times a day, and were not associated with any symptoms of nausea or dizziness 

A 60 year old male came to the department with chief complaints of fever and cough since 10 days. We took his history. We could see the patient hyperventilating on speaking for long durations. Then we asked his about this condition to which he responded that he thought that this was normal and thought that it is due to his cough and nothing to worry about. We explained everything to him. Upon examination we could listen crepitations on the lower lobe of left lung, there were decreased chest movements on the left side and on X-ray there was clear defined consolidation. So the patient was being treated for TB and confirmatory tests were ordered. Unfortunately before we could get the results the mass burst leading to sepsis and death. The blog can be found below:

https://uvishnuteja161.blogspot.com/2023/06/60-year-old-male-presented-with-fever.html