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A 55year old female with h/o seizures

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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. This blog is done by 103.Pavan.Ch & 104.Jeshmitha.P A 55yr old female resident of chityal with history of seizures  Chief complaints:- The patient was brought to casuality with cheif complaints of Active in...
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A 21 YR OLD MALE WITH SOB SINCE 15 DAYS

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OSCE PREFINAL EXAMINATION

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OSCE PREFINAL EXAMINATION Date :2/12/ 2023 A 55yr old female resident of chityal with history of seizures  Chief complaints:- The patient was brought to casuality with cheif complaints of Active involuntary movements ,since 30 minutes, history of frothing from mouth deviation of eyeball upwards ,toungue bite with urinary incontinance no h/o of fever, head injury, vomitings, loose stools. History of presenting illness - asymptomatic 20 yrs ago  she developed sudden onset of movements in upper and lower limbs for 5 minutes , confusion  The frequency & duration  of episodes were gradually increasing with in these 20 years  Initially it was 1 episode in 5 yrs ---->later 2-3 episodes within 5yrs ----->one episode in 2years ---> single episode in 1yr ---->2-3 episode in a year  PHENYTOIN -100mg OD was prescribed in a private hospital  She was on underdosage of phenytoin  (phenytoin maintainence dose is usually 100mg thrice a day - 3-5mg...
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