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ACTIVE CLINICAL LEARNING - GENERAL MEDICINE

Greetings! I'm ASJAD ALAM , a final year medical student. This blog aims at providing cutting edge and wide array of information over the distinguished cases evaluated to the best of my understanding. This blog paces up with the spectrum of patient centered active learning under the guidance of my experienced seniors. Enjoy your reading.

General medicine 2nd internal

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July 21, 2023

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THEMATIC ANALYSIS OF A 35/F PRESENTED WITH PAINFUL SKIN LESIONS

September 24, 2023

THEMATIC ANALYSIS OF 35/F PRESENTED WITH PAINFUL SKIN LESIONS OVER BOTH HANDS AND LEGS WITH HISTORY OF RHEUMATOID ARTHRITIS LATER DIAGNOSED AS PYODERMA GANGRENOSUM . Case blog link:https://asjad24.blogspot.com/2023/09/note-following-e-log-aims-at-discussing.html INTRODUCTION : This thematic analysis provides insight into the multifaceted experiences of my patient living with Pyoderma Gangrenosum, highlighting the physical, emotional, and social challenges she faces as well as the coping strategies she employs. AIM : This analysis aims at figuring out different aspects of impairment including physical, mental and social agonies faced by patients living with Pyoderma Gangrenosum. This will help in all round targeted interventions and support for patients suffering from this painful disease . METHODOLOGY : The following data has been captured by bedside history taking followed by telephonic semi structured interview. THEMES Theme 1: Physical Agony Subtheme 1.1:...

A CASE WITH PAINFUL SKIN LESIONS PRESENTED IN SUMMER 2023

September 13, 2023

NOTE: The following E-log aims at discussing our patient de-identified health data shared after taking the guardian's signed consent. Here we discuss our individual patient problems through series of inputs from available global online community of experts with an aim to solve the patients clinical problem with current best evidence based input. This E-log also reflects my patient's centered online learning portfolio. 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 a diagnosis and providing treatment best to our skills and wisdom. A 35 years old female , daily wage worker by occupation came presented with chief complaints of painful skin lesions on B/L upper and lower limbs since 2 months, fever and burning micturition since 4days. Date of admission: 12/09/23 CHIEF ...

General Medicine OSCE questions towards optimising clinical complexities.

November 30, 2023

OSCE QUESTIONS: Case- A 35 years old female , daily wage worker by occupation came presented with chief complaints of painful skin lesions on B/L upper and lower limbs since 2 months, fever and burning micturition since 4days https://asjad24.blogspot.com/2023/09/note-following-e-log-aims-at-discussing.html BASED ON HISTORY AND BIOPSYCHOSOCIAL PROFILE 1)What factor suddenly triggered her skin lesions? 2)How long it took for her pain to progress in to severe deformity? 3)What investigations/diagnosis made her to take medication for RA? 4)What factors led her to stop medications for RA? 5) How did she manage to work even with severe deformities? BASED ON EXAMINATION 1)Why is she severely cachexic even after proper diet? 2)Is the violaceous hue around the margin of ulcer insinuate something? 3) What is the reason for her continous hypotension? 4)What is the reason for her severe anemia? BASED ON DIAGNOSIS AND MANAGEMENT 1) Why it can't be Raynaud's diseas...