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OSCE- pre final practical examination

Pre final examination Date:01 Dec 2023 I have  presented a case of 25 yr old female housewife by occupation resident of nalgonda came to general medicine OPD with  Chief complaints: - Body pains since 6 days Fever since 3 days petechial rash on left fore arm on the day of admission after applying Bp cuff  i.e hess test is positive  Direct NS 1 antigen test- positive Diagnosis: Dengue hemorrhagic fever. OSCE question & answers: Link: https://shwethamummadi87.blogspot.com/2023/11/25-yrs-old-female-with-dengue-fever.html 1)What are the newer treatment options for dengue other than supportive care? https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10111087/table/Tab1/?report=objectonly • Monoclonal antibodies VIS513: Pan-serotype anti - DENV monoclonal antibody Diminished circulating infectious DENV Other drugs under studies include • AT-752:  Guanosine nucleotide analog replication Reduced viremia on certain days and improved survival in immunocompromised mice models infected with DE
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25 yrs old female with dengue fever

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  This is an online E log book 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 series of inputs from available global online community of experts with an aim to solve those clinical problems with collective current best evidence based inputs 25 yr old female housewife by occupation resident of nalgonda came to general medicine OPD with  Chief complaints: - Body pains since 6 days Fever since 3 days History of presenting illness:- Patient was apparently asymptomatic 6 days back then she started developing body pains insidious in onset ,gradually progressive, dragging type symmetrica in nature small joints are involved more not associated with swelling local rise of temperature and redness,aggravated during fever no relieving factors  Fever since 3 days sudden in onset continues in nature high grade associated with chills and rigors relieving on medicat
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General medicine Internal paper

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50years male with cough with sputum

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  50/M FEVER COUGH WITH SPUTUM,UNCONTROLLED SUGARS June 08, 2023 This is an online E log book to discuss our patient  de-identified health data shared after taking his/her/guardian's signed informed consent. Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs. This e-log book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome  CHIEF COMPLAINTS Patient came with chief complaint of cough since  7 Days,  Fever since 7 days, with difficulty in breathing since 7 days HOPI Fever since 7-days high grade-not associated with chills and rigor, evening rise + Associated with sweating Cough since 7- days associated with less amount of sputum, mucoid. blood tinged aggravated on changing position from lying down to sitting position, no reliving factors SOB g
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