Summary :
Following is a rough draft of the conduct of half of the practicals in the new format previously detailed here :
http://medicinedepartment. blogspot.com/2023/11/mbbs- general-medicine-revised- practical.html?m=0 by one examiner and his team who chose to take long case (60 marks), OSCE (25 marks), AETCOM (5 marks) and logbook (10 marks) while the other team took short cases (50 marks), viva (40 marks), log book (10 marks), each taking 100 marks toward an end total of 200. All students were also made to share online, their self reported learning outcomes at the end of the face to face offline session making it a blended learning assessment experience.
1.HARIKRISHNA https://01harikrishnamunna. blogspot.com/
[11/28, 11:02 AM] Rakesh Biswas:
Long case 35/60
OSCE 13/25
AETCOM 3/5
Logbook 5/10
2.Shruthi Arukonda
[11/28, 11:22 AM] Rakesh Biswas:
Long case : 30/60
Osce : 15/25
AETCOM : 3/5
Log book : 6/10
Shruthi roll no 2 ,
Case : acute pancreatitis.
Learning points:
-I’ve learnt the importance of a detailed personal history to come to the final diagnosis.
-I’ve learnt the importance of helping make the patient at ease so they can be more vocal about their symptoms and routines.
-I’ve learnt about various complications of chronic pancreatitis.
-I’ve learnt that we must always the patient how much of pain has subsided quantitatively [if he says the pain has subsided]. This is to have a clear idea of how effective the treatment has been working.
3.A.Sri Sai Tarun
[11/28, 11:39 AM] Rakesh Biswas: Couldn't demonstrate joint position sense
Wrong technique for ankle reflex
Long case 25/60
OSCE: 13/25
AETCOM : 3/5
Log book : 6/10
A.Sai Tarun rollno-03
Case : peripheral neuropathy
Learning points:
-I’ve learnt the importance of a detailed personal history to come to the final diagnosis.
-I’ve learnt that how can a diabetes leads to major complications if ignored.
-I’ve learnt how a detailed history and examination can lead to the diagnosis.
-I’ve learnt how does diabetes effect various systems and lead to a ulcer.
-I’ve learnt how to reach a probable diagnosis by taking a good patient oriented history.
4.Srilasya Akula
[11/28, 12:10 PM] Rakesh Biswas:
Long case : 30/60
Osce : 12/25
AETCOM : 3/5
Log book : 8/10
04 A Srilasya
learning points from my case : leprosy
• Importance of knowing proper history and prior treatment taken before arriving at diagnosis .
• importance of each clinical feature contributing in differentiating types of leprosy .
•To get to the diagnosis through and through clinical examination ( i.e by structured understanding of which sensory nerve involved and invoved dermatome) before going for investigations first.
• To make sure patient feels safe with us and not feel stigmatized of disease and run away as my patient did .
• importance of early diagnosis and prevention before landing up in irreversible complications
5.Akula vignesh
[11/28, 12:18 PM] Rakesh Biswas:
Long case : 30/60
Osce : 10/25
AETCOM : 3/5
Log book : 5/10
A.vignesh
Rollno. 05
Learning points:-
I learned the importance of detailed personal history and daily routine of the patient in a case history
I learned about how to assess the fat status of the patient who is having ascites where abdominal fat cannot be assessed
I learnt that having a detailed history of the patient and
proper clinical examination will lead to provisional diagnosis.
6.Anvitha reddy
[11/28, 12:49 PM] Rakesh Biswas:
Long case : 25/60
Osce : 10/25
AETCOM : 3/5
Log book : 4/10
Roll no:6
Name : Anvitha reddy
Long case: diabetic neuropathy with psoriasis
Learning points: I learnt how to approach diabetic case and how to administrate insulin injection
I have learnt how diabetes leads secondary conditions
I have learnt management approach in treating diabetic case
7.Sivaram (absent)
[11/28, 4:47 PM]
Roll 8
Anahita 2019 :
Long case : 50/60
Osce : 20/25
AETCOM : 4/5
Log book : 8/10
Long case : Stroke
Learning points
-dilated , non reactive pupil indicative of Edinger Westphal nucleus
-vascular localization of stroke
-unique disability ID form and how to apply
-realistic solutions to patient care
[11/28, 7:09 PM] Rakesh Biswas: Dilated non reactive pupil with abducted eye is indicative of third nerve palsy. What are the other findings in a complete third nerve palsy? Did your patient have complete or incomplete third nerve palsy?
How does he apply for disability pension? Why didn't he apply since last two years?
[11/28, 7:41 PM] Anahita 2019 KIMS: A complete third nerve palsy presents with complete ptosis, with the eye positioned downward and outward with the inability to adduct, infraduct, or supraduct, as well as a dilated pupil with sluggish reaction
He had incomplete third nerve palsy as he gaze upwards and downwards with his left eye
As for the disability pension , he needs a certificate of the grade and type of disability from the district hospital and then apply for a unique disability card online
Since the last 2 years the patient was then hope of complete recovery , now the patients condition had become a financial and emotional burden on his family and they are looking to avail government aid sir
[11/28, 7:45 PM] Rakesh Biswas: Where is the origin of his third nerve palsy? Why third nerve nucleus and not peripheral third nerve lesion? What is the relation of the Edinger Westphal nucleus to the rest of the source of third nerve origin?
Roll no 09
Name A Sanvith
LONG CASE: CHRONIC PANCREATITIS
i have learnt about the patient based exposure and learnt about how to approach.
Learning points:
I’ve learnt about, how the patient presents with a case of pancreatitis and how to get proper diagnosis.
i’ve learnt to evaluate the underlying cause by careful examination of patient.
I’ve learnt about the complications, if it is not treated properly.
Ankam Anusri Roll no :10
Long case : 30/60
Osce : 13/25
AETCOM : 3/5
Log book : 5/10
Key learning points:
- It is important to establish a strong rapport with the patient.
- Communicating effectively with the patient's attendants is equally important
- Conducting a comprehensive patient history facilitates the diagnostic process.
- learning the significance of foot care in diabetes management.
- Witnessing the impact of a disease on a patient's daily life and its subsequent effect on their family.
- Improved my communication skills.
- Educating patients regarding their condition for an improved prognosis.
Ankesh sahu
Roll no- 11
Long case : 31/60
Osce : 12/25
AETCOM : 3/5
Log book : 5/10
Long case:- Paucibacillary leprosy
Learning points:-
-l learnt about the severity of leprosy and how to approach it
-Importance of knowing proper history and prior treatment taken before arriving at diagnosis
-Importance of each clinical features helps in differentiation of different types of leprosy
-learnt about how to do the palpation of nerves involved in leprosy
-To make sure the patient feels comfortable with us and didn't feel stigmatise and willing to get the tests done
[11/28, 12:25 PM] Med Pg: 12.Ashish
Long case : 29/60
Osce : 10/25
AETCOM : 2/5
Log book : 4/10
[11/28, 10:57 PM] : Ashish roll no 12
Long case - peripheral neuropathy secondary to dm
Learning points:
I’ve learnt the importance of a detailed personal history to come to the final diagnosis.
I’ve learnt the importance of having a great rapo with the patient .
Building up confidence for the final practical’s
13.B. Medha
Long case : 35/60
Osce : 14/25
AETCOM : 3/5
Log book : 6/10
[11/28, 4:46 PM] Medha 2019: Learning points
- I have learnt about the importance of AETCOM
- Learnt that this patient needs a wholistic approach to the treatment.
- I have also learnt the importance of knowing the daily routine of the patient in order to come to a diagnosis and to know the etiology
[11/28, 6:09 PM] Rakesh Biswas: Which patient? What made you learn all that?
[11/28, 6:26 PM] Medha 2019: His history and daily routine reveals h/o alcohol consumption since 6-7 years which leads to the etiology and diagnosis - alcoholic liver disease
- wholistic approach is because he needs help with attainment of abstinence from alcohol, nutritional therapy.
[11/28, 7:07 PM] Rakesh Biswas: Why call it holistic? We are just trying to tackle the root cause. But why did he consume alcohol more than others?
[11/28, 12:40 PM] : 14.Banuri Varun
Long case : 25/60
Osce : 10/25
AETCOM : 2/5
Log book : 4/10
[11/28, 11:00 PM] :
Varun roll no 14
Long case: acute pancreatitis
- I have learnt about importance of daily routine of the patient and any significant deviation from the daily routine led to disease.
-I have learnt how a proper communication is necessary to arrive at a proper diagnosis.
-I have learnt about the impact of chronic alcohol consumption on various organs.
-I have learnt how to reach patient oriented diagnosis in a case by clinical examination
[11/28, 3:22 PM]
15.Sravani
Long case : 29/60
Osce : 12/25
AETCOM : 3/5
Log book : 6/10
Case :diabetic neuropathy
Learning points :
I have learnt how to approach a patient and how to communicate with patients attendant.
I have learnt importance of clinical examinations to arrive at a diagnosis , importance of diet and exercise in treating diabetic patient .I have learnt about sarcopenic obesity .
16.Poojitha Bhavanam
Long case : 30/60
Osce : 13/25
AETCOM : 3/5
Log book : 5/10
Long case :Peripheral neuropathy
Learning points:
-i have learnt about the pathology behind the diabetic foot.
-i have learnt how diabetes can lead to perpheral neuropathy and inturn to diabetic foot.
- I have leart the importance of having good history and clinical examination to to elicit the diagnosis.
-i have learnt how it is vert important to have a good follow up of the patient to treat and the patient and to also to know the compliance.
-i have learnt how visceral fat can lead to many metabolic disorders.
17.Bhavya Ranjan
Long case : 33/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
Long case : ascites due to chronic liver disease.
Today learnt about-
-how alcoholism can lead to chronic liver disease.
-importance of proper history taking and clinical examination
-importance of AETCOM
-management of ascites
-apart from alcoholism what other conditions cause chronic liver disease
18.Ananya bhukya
[11/28, 3:19 PM] Rakesh Biswas:
Long case : 30/60
Osce : 12/25
AETCOM : 3/5
Log book : 6/10
19.Lavanya
[11/28, 3:16 PM] Rakesh Biswas:
Long case : 25/60
Osce : 10/25
AETCOM : 3/5
Log book : 6/10
B.Lavanya roll no 19
Long case : monoplegia with anemic case
I have learnt about how to approach to patient and importance of how to examine a patient based on detailed history that I have taken
I have also learnt to differentiate between causes and relate info with. Diagnosis
I have also improve my communication skill
21.B.Varshitha
[11/28, 3:08 PM] Rakesh Biswas:
Long case : 30/60
Osce : 12/25
AETCOM : 3/5
Log book : 6/10
22.B. Vaishnavi
[11/28, 3:14 PM] Rakesh Biswas:
Long case : 32/60
Osce : 12/25
AETCOM : 3/5
Log book : 6/10
Long case: Diabetic foot ulcer
Learning points:
- Effects of diabetes on different organs
-Importance of amputation
-Importance of supportive care in addition to medical management
- Sensory examination with eliciting signs of meningitis helped in coming to final diagnosis
- Importance of proper communication and history taking
23.Divya.B
[11/28, 2:53 PM] Rakesh Biswas:
Long case : 30/60
Osce : 12/25
AETCOM : 3/5
Log book : 5/10
Long case: acute pancreatitis
- I have learnt about importance of daily routine of the patient and any significant deviation from the daily routine led to disease.
-I have learnt how a proper communication is necessary to arrive at a proper diagnosis.
-I have learnt about the impact of chronic alcohol consumption on various organs.
-I have learnt how to reach patient oriented diagnosis in a case by clinical examination
24.Prannai Reddy
[11/28, 2:45 PM] Rakesh Biswas: Long case : 25/60
Osce : 12/25
AETCOM : 3/5
Log book : 4/10
Prannai reddy.ch
ROLL-:24
LONG CASE -: pneumonia along with pedal edema and alzhiemers
-I have learnt about pneumonia and its effects in the community and its effects on our body
-i have learnt about risk factors that may lead to pneumonia
-i have learnt about importance of breath sounds in pneumonia and also auscultatory findings in it
-I have also learnt how to approach to a case of pneumonia
-i have also learnt about severe signs of pneumonia
-i have learnt about x-ray findings in pneumonia
-I have also learnt about multifactorial causes of pedal edema
-i have also learnt about importance of cns examination in case of alzhiemers disease.
25.Varshini reddy
[11/28, 2:35 PM] Rakesh Biswas:
Long case : 30/60
Osce : 12/25
AETCOM : 3/5
Log book : 6/10
Learning points:
-I have learnt about how to localise the apex beat on examination.
-I have learnt about different metabolic effect that are caused due to accumulation of adiposites at various sites
- I have learnt about the importance of clinical examination in order to get to a diagnosis and to treat them accordingly.
[11/28, 5:13 PM] : Tanmayee 2017
1701006150
Long case : 30/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
Long case: chronic kidney disease
Learning points
- I have learnt about the importance of AETCOM
- Realistic solutions to patient care
-I’ve learnt the importance of a detailed personal history to come to the final diagnosis
[11/28, 8:09 PM] Rakesh Biswas: Is this linked case report of the same patient we saw in the AmC bed 6 today?
What was she receiving radiation for?
What was the cause of her low back ache?
Very well maintained log book 👏👏
[11/28, 8:14 PM] Rakesh Biswas: Okay @~Tanmayee Reddy You are from 2017.
I find that you began your log book from Nov 2022. Following which there was a gap but this October 2023 you have done a good job. Only wish you had shared these with your questions in the group earlier so that we could have helped those patients too.
Rohith
1701006063
Long case 30/60
OSCE 13/25
AETCOM 3/5
Logbook 6/10
[11/28, 9:43 PM] Rakesh Biswas: @~Rohith J Why was your patient here👇
getting antibiotic piptaz?
[11/28, 10:00 PM] Rohith : Sir she had severe Vomitings and abdominal pain when she came here. She had an infected and distended gall bladder. Suspected Pancreatitis
[11/28, 10:06 PM] Rakesh Biswas: What clinical features of infection she had that necessitated adding iv high end antibiotics?
[11/28, 10:16 PM] Rohith : Sir She was complaining of fever and burning micturition and she was a known case of TB five years back
[11/29, 6:53 AM] Rakesh Biswas: Complaining of fever and burning urination is a valid reason for starting iv piptaz without any objective evidence of urinary infection?
[11/29, 9:13 AM]:
27.Naga Tarun
Long case : 30/60
Osce : 12/25
AETCOM : 3/5
Log book : 5/10
[11/29, 9:13 AM] :
28.Chikatla Laharisha
Long case : 35/60
Osce : 14/25
AETCOM : 3/5
Log book : 6/10
Name:Ch.Laharisha
Roll no.28
Case-CVA WITH RIGHT SIDED HEMIPARESIS
Learning points:
-I have learnt how to localize lesions of the brain clinically without any investigation
- Formulating OSCE is equally important especially for my patient who is struggling to regain normal vision
-I have learnt how to apply theoretical knowledge practically to help the patient
-Educated the patient about the prognosis of the disease by suggesting them alternative therapies
11/29, 8:37 PM] Rakesh Biswas: What is your CNS localization for this patient?
[11/29, 8:04 PM] Laharisha:
Millard gubler syndrome??
Millard-Gubler syndrome, also known as ventral pontine syndrome, is a neurological condition caused by damage to the ventral part of the pons, a region in the brainstem. This damage typically results from a lesion affecting the corticospinal fibers, abducens nucleus, and facial nerve fibers in the pons.
Key features of Millard-Gubler syndrome include:
Ipsilateral Facial Nerve Palsy: Facial weakness or paralysis on the same side as the lesion due to involvement of the facial nerve fibers.
Contralateral Hemiplegia: Paralysis on the opposite side of the body due to damage to the corticospinal fibers, which cross in the brainstem.
Abducens Nerve Involvement: Impaired lateral gaze due to damage to the abducens nucleus, which controls the lateral rectus muscle of the eye
These symptoms arise because the affected structures are located close to each other in the ventral part of the pons. The syndrome is a result of lesions, often vascular in origin, affecting this specific region. It's important to note that the clinical presentation may vary depending on the size and location of the lesion
[11/29, 10:18 PM] Rakesh Biswas: Abducens which side?
Please share the reference links for each of your borrowed texts here
[11/29, 10:23 PM] Laharisha: Ipsilateral abducens nerve sir
[11/29, 10:28 PM] Rakesh Biswas:
Agreed
ipsilateral facial, abducens and contralateral hemiplegia
In your patient the limb hemiplegia, facial palsy and abducens palsy are all contralateral?
[11/29, 9:14 AM] : 29.Ch. Janani
Long case : 30/60
Osce : 10/25
AETCOM : 3/5
Log book : 3/10
11/29, 6:25 PM] : Name :Janani
Roll no 29
Case : chronic kidney disease
Learning points
I have learnt about importance of daily routine of the patient
I have learnt how proper a communication is necessary to arrive at a proper diagnosis
I have learnt how to reach patient oriented diagnosis in a case by clinical examination
Iam able to correlate symptoms with a set of differential diagnosis and narrow them down further
I have learnt about the causes and complications of ckd
[11/29, 9:15 AM]: 30.Ch Hansika Reddy
Long case : 30/60
Osce : 12/25
AETCOM : 3/5
Log book : 5/10
11/29, 7:47 PM]: https://30hansikareddy. blogspot.com/2023/11/a-52- year-old-male-co-bilateral- lower.html .
Name :- Ch.Hansika Reddy
Rollno.:- 30
Case :- Chronic kidney disease with polycystic kidney disease
Learning points:-
-I have learnt how a proper communication is necessary to arrive at a proper diagnosis.
-I have learnt How important is the previous surgical scar in the history
-I have learnt the possible causes of CKD , types of polycystic kidney disease and it's progression
-I have learnt the importance of IVC diameter in CKD patients, which indicates the fluid overload in these patients and how Lasix(furosemide) acts to decrease the overload.
-I have learnt how to reach patient oriented diagnosis in a case by clinical examination
[11/29, 9:15 AM]: 31.Snehitha
Long case : 30/60
Osce : 12/25
AETCOM : 3/5
Log book : 5/10
11/29, 8:56 PM] :
NAME: CH. Snehitha
ROLL.NO: 31
LONG CASE: Megaloblastic anemia
CASE LINK:
LEARNING POINTS:
I've learnt how important it is to take proper detailed personal history.
I've learnt about approach to anemia, anemia workup as in history, clinical evaluation, investigations for pathogenesis, evaluation of blood loss and hemolysis.
I've learnt how patient's diet is important in illness, in preventing chronic noncommunicable diseases.
[11/29, 9:18 AM] : 32 Ch. Srilekha
Long case : 35/60
Osce : 12/25
AETCOM : 3/5
Log book : 7/10
Name : Ch. Srilekha
Roll.no : 32
Case - CVA with right sided hemiparesis
Case link:
Learning points:
-I have learned about how important is to know the past history which helps in assessing the present condition of the patient.
-I have learnt how a patient with posterior cerebral artery lesions presents with.
-I have learned about the lesions which affect the vision.
-How to localize the lesions affecing vision with cranial nerve palsies.
[11/29, 9:18 AM]:
33.Srinaini
Long case : 35/60
Osce : 14/25
AETCOM : 3/5
Log book : 7/10
11/29, 5:53 PM]: Name- Ch Srinaini
Roll no:- 33
Case:- Chronic liver disease
Case link:-
Learning Points :-
-I have learnt how to clinically assess direction of blood flow in dilated abdominal veins
-I have gained understanding of how chronic liver disease due to chronic alcoholism made a way to complications like ascites ,portal hypertension
& pedal edema
-I have learned how to check for apraxia which is a symptom indicating that patient developed hepatic encephalopathy
-I have learnt how important it is to listen to patients complaints carefully and doing a proper head to toe clinical examination before sending to investigations and come to a diagnosis
[11/29, 9:22 AM] :
34.D Vijaya ratna
Long case : 30/60
Osce : 12/25
AETCOM : 3/5
Log book : 7/10
11/29, 9:09 PM] : http://34vijayaratnadande. blogspot.com/2023/11/a-60f- with-megaloblastic-anemia.html
Name : D Vijaya ratna
Roll no.34
Long case : MEGALOBLASTIC ANEMIA
Blog link: https://34vijayaratnadande. blogspot.com/?m=1
Learning points
I've learnt
- To establish rapport with the patient
- How to analyse all the complaints to make Differential diagnosis
- How dietary changes play an important role and understood it's significance
- Importance of treatment plan in preventing complications
[11/29, 9:23 AM] :
35.Rishitha
Long case : 25/60
Osce : 10/25
AETCOM : 2/5
Log book : 3/10
11/29, 6:36 PM] Rishitha Kims 2019: Name: Rishitha
Roll no. : 35
Long Case: Chronic Pancreatitis.
Learning Points:
- i have learnt how lifestyle management can affect the treatment outcome.
- i can now clinically assess cardiac and bronchial asthma before jumping into treating any asthma as a bronchial asthma.
- i have learnt how a single clinical examination and proper history taking can affect the diagnosis and treatment plan.
11/29, 7:26 PM] :
Name : Enduri tejaswi
Roll no : 36
Case : cerebro vascular accident leading to right side hemiparesis
Medial rectus palsy in the left eye
Lateral rectus palsy in the right eye
Long case : 45/60
Osce : 20/25
AETCOM : 3/5
Log book : 7/10
[11/29, 7:27 PM] : I have learnt how to approach a cns case based on the clinical findings .
I have also learnt how a detailed history is very important and how it can help in the diagnosis of the patient .
I learnt how to localise the lesions and what specific symptoms each lesion presents with .
I also learnt how a manifestion in patient might have different reasons pointing towards .
I also learnt about some syndromes through the osce questions .
I realised how important it is to cater to the needs of the patient first and how to be show empathy and resolve there doubts regarding the disease and their recovery
[11/29, 7:34 PM]: About How hypertension could cause cva?
Hypertension can cause stroke through the following mechanism A high intraluminal pressure will lead to extensive alteration in endothelium and smooth muscle function in intracerebral arteries. The increased stress on the endothelium can increase permeability over the blood-brain barrier and local or multifocal brain oedema. Endothelial damage and altered blood cell-endothelium interaction can lead to local thrombi formation and ischaemic lesions. Fibrinoid necrosis can cause lacunar infarcts through focal stenosis and occlusions.
[11/29, 7:36 PM]: https://pubmed.ncbi.nlm.nih. gov/10405790/
[11/29, 7:45 PM]: About the localisation of lesion ?
For any lesion location 3 questions have to be asked ?
What is the lesion ? UMN or LMN
What is the anatomical location associated ?
Why has the lesion occurred ?
Hemiplegia can result from a unilateral lesion of the brain stem, internal capsule, or cerebral cortex. Brain stem lesions result in crossed hemiplegia. For example, a left pontine lesion will result in left facial weakness of lower motor neuron type and right-sided hemiplegia. Similarly, a lesion in the left midbrain will result in left-sided oculomotor weakness with right hemiparesis and right facial weakness of upper motor neuron type. This constellation of signs is called Weber syndrome. Lesions above the level of the brainstem result in uncrossed hemiplegia. For example, a lesion in the left internal capsule would result in right hemiplegia and right facial weakness of the upper motor neuron type. A left cortical lesion may also result in cortical dysfunction in addition to right hemiparesis and facial weakness of upper motor neuron type
This suggests our patient might be A case of weber syndrome .
[11/29, 7:49 PM] : Weber syndrome
Weber syndrome, classically described as a midbrain stroke syndrome and superior alternating hemiplegia, involves oculomotor fascicles in the interpeduncular cisterns and cerebral peduncle, thereby causing ipsilateral third nerve palsy with contralateral hemiparesis. It most commonly results from the occlusion of a branch of the posterior cerebral artery.
A lesion in the ventromedial portion of midbrain leads to Weber syndrome. The midbrain receives its blood supply from the paramedian mesencephalic branches (basilar), peduncular perforating branches (posterior cerebral artery) as well as from the superior cerebellar artery, and the choroidal arteries.
Antecedent history of hypertension, diabetes, hypercholesterolemia is often associated with Weber syndrome, like other stroke
[11/29, 8:40 PM] Rakesh Biswas: Share the scientific reference for each statement. The link you have shared is a review article and you will need to check the cross references for each statement claim
[11/29, 8:45 PM] : The lesion is located in the midbrain region supplied by the peduncular peforated arteries of the posterior cerebral artery .
[11/29, 8:46 PM] Rakesh Biswas: The question was around localization of the anatomical tracts and pathways explaining his right abducens palsy and left oculomotor palsy?
Is his current facial palsy due to pontine nucleus involvement or facial nerve tract involvement above the nucleus (supranuclear facial palsy)?
[11/29, 8:52 PM] : His current paralysis is most likely supra nuclear facial palsy sir .
In pontine syndrome it is contralateral palsy and ipisilateral abducens but here in his patient the same side as hemiparesis abducens is affected
[11/29, 8:54 PM] Rakesh Biswas: So his abducens palsy is also supranuclear!!?
But that is unknown?
[11/29, 8:59 PM] Rakesh Biswas: So is his abducens palsy nuclear in the brainstem or in the peripheral abducens nerve?
[11/29, 9:39 PM]: Its is abducens nuclear palsy sir .
Involvement of the sixth nerve nucleus causes ipsilateral gaze palsy. The absence of contralateral adduction helps distinguish a nuclear lesion from a fascicular or nonnuclear lesion.
[11/29, 10:00 PM] Rakesh Biswas: How would you then explain the hemiparesis on the same side? 🙂
[11/29, 10:28 PM] : Sir it might actually be a weber syndrome where its is left midbrain stroke with right hemiparesis and left oculomutor nerve palsy .
The right abducens can probably be due to another lesion in right abducens nuclear region sir
[11/29, 10:30 PM] Rakesh Biswas: If the right abducens had to be another right nuclear then shouldn't he have had a left hemiparesis too and in effect have quadriparesis? But your clinical findings don't suggest that do they?
[11/29, 10:38 PM]
Rakesh Biswas: NEET MCQ :
Abducens nerve palsy:
Is a false localizing sign
It's the nerve with the longest intracranial course
It's prone to getting stretched and paralyzed due to any cause of raised intracranial pressure
Raised intracranial pressure causing abducens nerve palsy can be long lasting (as in our patient)?
[11/29, 10:52 PM] : Yess sirr patient is a known case of HTN and one of the extra cranial causes of raised intracranial pressure is HTN which might be causing the abducens palsy
The weber syndrome can explain probably explain the hemiparesis on left and oculomotor palsy on right side .
So only one lesion and the other maifestation might be due to ict .
[11/29, 10:53 PM]: https://www.ncbi.nlm.nih.gov/ books/NBK507811/
[11/29, 10:54 PM] Rakesh Biswas: Any reference link for persistent abducens nerve palsy following and after recovery from raised ICT as suspected in our patient?
[11/29, 11:11 PM]: No sir ,
[11/30, 1:33 PM] Rakesh Biswas: Please quote the relevant portion
Name :G Jagadeesh
Roll no : 37
Long case : 35/60
Osce : 14/25
AETCOM : 3/5
Log book : 6/10
Learning points
I have learnt how important it is to do temperature charting 4 hourly to assess and treat the fever
I came to know approach towards fever
I learned how to motivate my patient to stay back in the hospital and get treated completely
[11/30, 9:30 PM] Rakesh Biswas: Don't use this version of the consent form with multiple pages and never upload it in the online learning portfolio!!
Use single page of the the signed informed consent form downloadable from http://medicinedepartment. blogspot.com/2020/05/informed- patient-consent-and.html?m=1
The case reporter needs to ensure that the informed consent is signed by each of their logged patients and emailed to this address informedconsentpajr@gmail.com asap and ensure that s/he gets a reply to that email
The signed informed consent needs to be emailed along with the patient's signature, their name and complete contact details along with signature and contact details of witness along with the case report and PaJR link in that email else the people who are archiving this data will not be able to correlate who's it is
[11/30, 9:31 PM] Jagdeesh : Ok sir
11/29, 7:22 PM] : https://38nandinigandla. blogspot.com/2023/11/a-25- year-old-female-came-to-opd- with.html
Name :G.Nandini
roll no:38
Long case : 30/60
Osce : 12/25
AETCOM : 3/5
Log book : 6/10
Learning points:
I have learnt the pathogenesis behind the cause of decreased platelets in dengue.
I also learnt about the hess test which is positive in my patient.
Ihave also learnt that it is important to educate the patient and patient attenders about the condition and also about the complications so that they seek medical help before complications occur.
I also observed how anxious the patient attenders about the condition so it is very important to let them know about her condition.
11/29, 5:43 PM]:
Name: Bhavana
Roll no : 39
Long case: Megaloblastic Anemia
Long case : 30/60
Osce : 12/25
AETCOM : 3/5
Log book : 6/10
Learning points:
- I have learnt how a single change in daily routine ( mainly diet) can cause such a health problem.
- I have also learnt how a good communication is needed to gain all the information about the condition.which is very helpful to diagnose the condition clinically.
-I have also learnt that there's a lot to know.
-I have also learnt that how a proper treatment plan is needed to cure or to differentiate / exclude the condition from other conditions.
11/29, 7:43 PM] : http://aksharakruthi.blogspot. com/2023/11/67-old-male- patient-with-pain-abdomen.html
G.Akshara kruthi
Roll no : 40
Long case : 25/60
Osce : 12/25
AETCOM : 3/5
Log book : 6/10
Case : chronic pancreatitis
Learning points :
- I have learnt proper history and inspectory findings are atmost important in diagnosing the case
- I have learnt the importance of daily routine
- I have learnt how important it to correlation between the investigations and clinical examination
- I have also learnt that both life style changes and medications are important in management of my patient
As my patient is alcoholic which has lead to this condition .
- I have also learnt to correlate all the systems and look for complications caused by the disease .
11/29, 5:05 PM] Pravalika 2019:
Name : G Pravallika
Roll no :41
Long case : 35/60
Osce : 12/25
AETCOM : 3/5
Log book : 6/10
Blog link : https://pravallikagade41. blogspot.com/?m=1
Learning points
-I have learnt to apply the theoritical knowledge of immune reactions in viral fevers to understand the cause of haemorrhagic manifestations of dengue
- I have learnt the importance of monitoring in a hospital setting in preventing complications and supporting the patient through symptomatic treatment.
- I have understood that involving the patient and patient attenders in treatment process encourages them to adhere to the treatment regimen and understand the illness
Name: G. Supriya reddy
Roll no. 42
Case:Chronic liver disease with ascites
11/29, 1:21 PM] : Supriya roll no. 42 .
Splenorenal shunts has low risk of rebleeding and hepatic encephalopathy of refractory ascites
Long case : 30/60
Osce : 10/25
AETCOM : 3/5
Log book : 5/10
Learning points
-I have learnt about advantage of spleno renal shunt over TIPS
-I have learnt about how a bed side examination can help in diagnosis
-I have learnt how to clinically see the direction of blood flow in dilated engorged veins
-I have learnt the importance of ascitic tapping which helps the patient to feel comfortable
-I have learnt the importance of general examination which helps in finding other issues and other causes for ascites.
[11/29, 6:21 PM] :
Name : G Preethi Reddy
Roll No : 43
Long case : 30/60
Osce : 12/25
AETCOM : 3/5
Log book : 6/10
Case : chronic kidney disease
Case link : https://43preethireddygangidi. blogspot.com/2023/11/chief- complaints-bl-pain-in-lower- limbs.html?m=1
Learning points
- I have learnt how important is to take detailed history before jumping into conclusions
I have learnt how important is the daily routine and and his occupation ( place of work and what type of work he does ) to know the cause
I have learnt that the not only NSAIDs but exposure to toxic gases from many years at his work place has led to CKD
And i have learnt how essential it is to build communication with the patient and gain his confidence for treating the patient
11/29, 6:51 PM]:
Name: G.Jyothi Reddy
Roll mo:44
Long case : 30/60
Osce : 12/25
AETCOM : 3/5
Log book : 6/10
Case : Acute Pancreatitis
Learning points :
I have learnt how to build rapport with patient so that he gives detailed personal history to get to know the right diagnosis
I have learnt how to exclude the differential diagnosis based on clinical examination
I got to know the effects of alcohol on various organs of body
[11/29, 1:10 PM] : Shreya Roll no 45 ..
My case for today is ascites secondary to chronic liver kidney . According to surveys.. Due to complications of hepatic encephalitis with TIPS procedure. Splenorenal shunt is a little better procedure compared to TIPS
[11/29, 6:56 PM] : Name- G. shreya
Roll no 45
Case - Chronic Liver Disease
Long case : 30/60
Osce : 12/25
AETCOM : 3/5
Log book : 6/10
Case chronic liver disease
Learning points:-
I have learned about importance of taking conset, Proper communication with patient.
I have learned about the causes, physiology, presenting features in chronic liver disease and ascites case.
Learnt about the method and importance of each -puddle sign, fluid thrill and shifting dullness in ascites case.
Also learned about difference in direction blood flow in veins in IVC obstruction and portosystemic shunt.
Other causes of swan neck deformity
Complications of CLD, ascites and features of hepatic encephalopathy
Management of Ascitic case-ascitic tap, TIPS, splenorenal shunt.
[11/29, 8:29 PM]
: Name::- G.chaitanya
Rollno :47
Long case : 30/60
Osce : 12/25
AETCOM : 3/5
Log book : 6/10
Long case:- Chronic kidney disease with ADPKD
Learning points:-I have learned that how important the past History which is helpful to assess the present condition
I have learnt how important the previous surgical scars in treatment history
I have learnt importance of family History,which help for early diagnosis in family members
I have learnt types of ADPKD and its progressionand how3to clinically assess it
Name:-G.pranay Kumar
Roll:-48
Long case : 30/60
Osce : 12/25
AETCOM : 3/5
Log book : 6/10
Long case:- Acute pancreatitis
I have learnt how sudden excessive consumption of alcohol lead to
an acute episode of pancreatitis
-i have learnt that how important it is to take a brief history and know the daily routine of the patient to know exactly the root cause( i.e,deviation from the routine ) which lead into an acute episode
- I have learnt how important it is to do a proper clinical examination before sending for investigations
Roll num: 49
Name: I.Aasritha
Long case: Megaloblastic anemia
Long case : 30/60
Osce : 12/25
AETCOM : 3/5
Log book : 6/10
LEARNING POINTS:
I have learnt that communication with patients and patient attendants to know detailed history leads to accurate diagnosis
I also learnt how sudden change in lifestyle and diet can effect the quality of life
I also learnt proper treatment is required to decrease the rate of recurrences of the disease
[11/29, 10:45 PM]: Name: P.Jahnavi
Roll no: 183
Case: Megaloblastic anemia
Long case : 25/60
Osce : 10/25
AETCOM : 1/5
Log book : 2/10
Learning points:
- I have learnt the importance of taking history in order to get the correct diagnosis .
- I have learnt the importance of correlating the pathophysiology in order to exclude differential diagnosis .
- With respect to the case, i have also learnt the importance of a investigation like schilling test to determine the cause behind vitamin b12 defficiency.
11/29, 10:24 AM] : 2018 special batch
Name:VS DINESH
REGD NO:1801006182
Long case : 25/60
Osce : 10/25
AETCOM : 2/5
Log book : 3/10
[11/29, 10:25 AM]: 2018 special batch
[11/29, 10:25 AM]: Dushyanth 1801006089
Long case : 25/60
Osce : 10/25
AETCOM : 2/5
Log book : 3/10
[11/29, 10:27 AM]: 2018 special batch :
Long case : 25/60
Osce : 10/25
AETCOM : 2/5
Log book : 3/10
51.Jella Mounika
J. Mounika
Rollno:51
Long case : 30/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
Case link:
Osce and learning points
PaJr link:
52.Prasannakalyan
Absent
53.Kamatham Sneha
Long case : 25/60
Osce : 10/25
AETCOM : 3/5
Log book : 4/10
54. K Rohit
K.Rohit
54
Long case : 30/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
Case link
OSCE Link
55.Kanakam Aravind
K Aravind
Roll no 55
Long case : 30/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
Case link;
Osce and learning points;
56 Mahendra
Mahendra
Roll no 56
Long case : 30/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
OSCE AND LEARNING POINTS
PaJR LINK
57 K Vinila Bhavani
Long case : 30/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
K.Vinila Bhavani
Roll no 57
OSCE and LEARNING POINTS
58.Sri Harshitha
K.Sri Harshitha
Roll no. 58
Long case : 30/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
OSCE and learning points
PaJR link:
59.. Rithika Vasantha
Long case : 35/60
Osce : 14/25
AETCOM : 3/5
Log book : 6/10
K. Rithika
Roll no. 59
Ht no. 1901006079
Blog ID:
Blog case link:
OSCE learning points link:
Comment on the last link :
What are the reference links? Are these your own statements?
Also we were expecting some organic chemistry formula breakdown of sugar and fat conversion!??
Who were the others we had given this assignment?
60.Kundana Kanumilli
K.kundana
Roll no:60
Long case : 30/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
Case link:-
Osce and learning points:
PaJR link:-
61.K. Lahari
Long case : 30/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
K.Lahari
Roll no:61
Blog link :
Blog spot link:
OSCE & Learning points :
PaJr link :
62.subba reddy
Absent
63.Srinija Karnekanti
Name : k.srinija
Roll no: 63
Long case : 30/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
Blog ID :
Case link :
Osce link :
64.Lekhana
Name :K. Lekhana
Roll no:64
Long case : 30/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
Blog link:
Osce link:
65.Suchitha Kola
Name: SUCHITHA KOLA
Roll No: 65
Long case : 30/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
-BLOG LINK:
-OSCE and LEARNING POINTS LINK:
-PaJR GROUP LINK:
66. KVN Sudheer Kumar
Name: KVN Sudheer
Roll no: 66
Long case : 30/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
67.K. Sai Likhitha
Name: K. Sai likhitha
Roll no:67
Long case : 30/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
Osce link:
Pajr link : https://chat.whatsapp.com/ KP7oVUljQEkLckGTKRoUVw
Name: K. Sai likhitha
Roll no:67
Osce link:
Pajr link : https://chat.whatsapp.com/ KP7oVUljQEkLckGTKRoUVw
68.Naga Meghana
L.Naga meghana
68
Long case : 30/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
Case link:
OSCE link:
69Likitha Godavarthi
G. Likitha
Roll no - 69
Long case : 30/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
Case link
OSCE link
70.Luckshetty Nitin Kumar
L Nitin Kumar
Roll no 70
Long case : 30/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
OSCE and leaning points
PaJR link
71. Laxmi Sowmya
M.Laxmi Sowmya
Roll no . 71
Long case : 30/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
Blog link :
OSCE and learning points
PaJR link
72.M. Sri Chakra
Name- M Sri Chakra
Roll no-72
Long case : 30/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
Blog link
OSCE link
73.M. Yashwitha
12/1, 7:09 AM]:
M.Yashwitha
Roll.number : 73
PaJR group link :
Log book link :
OSCE :
Long case : 30/60
Osce : 12/25
AETCOM : 3/5
Log book : 6/10
-Case: CKD with maintenance hemodialysis with anemia and Hypertension .
My learning points :
- I have learnt , importance of history taking for the diagnosis and treatment of the patient.
- I have learnt about the role of NSAIDS for causing acute renal failure .
-I have learnt importance of urea and creatinine level in monitoring the CKD patients .
- I learnt that how to approach a patient with back pain.
- I learnt about compressive myelopathy relation with back pain.
74.Madam Sneha
M.Sneha
Roll no -74
Long case : 35/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
Blog link - https://madamsneha74.blogspot. com/
Case link -
OSCE and Learning points -
PaJR link - https://chat.whatsapp.com/ CUIlbGRSzJTFiCLEMRCsbH
75.Sudarsan Sai Mallarapu
M.sudarsan sai
Roll no-75
Long case : 30/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
Case link: https:// 75sudarsansaimallarapu. blogspot.com/2023/12/a-55- year-old-female-resident-of. html
OSCE and learning points:
11/30, 8:35 PM]:
Name: Easha
Roll 76
Long case : 30/60
Osce : 12/25
AETCOM : 3/5
Log book : 6/10
Learning points:
•I've learnt about different types of pneumonia and how it effects the patients on a personal level
•i have learnt how proper history taking help in easy and appropriate diagnosis of the condition
•i have learnt about various organisms causing community acquired pneumonia in great detail .
•i can now make out difference between bronchial and vesicular breathing and various adventitious sounds
•ive learnt about ecmo
•i've learnt about different treatment modalities
Osce:
Roll 77 absent on Friday 01/12/23
12/1, 7:27 AM]:
Name : Md Asjad Alam
Roll no. : 78
Long case : 35/60
Osce : 15/25
AETCOM : 3/5
Log book : 8/10
.
PaJR group link :https://chat.whatsapp.com/ FGlVATIcOlrJD1xGxO1RaQ
Osce question link
12/1, 7:22 AM] :
Name : M. Koushiki
Rollno :79
Long case : 30/60
Osce : 12/25
AETCOM : 3/5
Log book : 6/10
Learning points :
▪︎ What is the role and importance of a ventilator in patient with low saturation levels but can have his own breaths
▪︎how to read the breaths supported by ventilator and the patient own breaths in the monitor
▪︎ types of lung collapse - due to bronchus lung collapse and peripheral collapse and various conditions of lung collapse
• different types of breathe sounds and their ausculatory findings
•Treatment modalities for a patient with pneumonia
Osce pajr link
List of problems: tightness of abdomen , tingling sensation and weakness , dysphagia might be due to upper respiratory infection
•how furosemide is causing muscle cramps and weakness this drug is helpful to patient to relieve pedal edema , decrease abdominal distention but giving muscle cramps .
•strict abstinence of alcohol and patient have to be supersvised at home properly
•Iv fluids are adviced without causing fluid overload
12/1, 7:04 AM]:
Name : M. Soumya
Roll number : 80
PaJR group link:
log case:
OSCE:
Long case : 32/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
Learning points:
1.I came to know the possible mechanisms of injuries to kidney due to exposure to NSAIDs
, toxins Aluminum phosphide , zinc phosphide etc
And what tissue inflammation glomerular or tubular and its influence on the concentration of urine
2.Indications of dialysis and factors indicating the therapeutic outcome of dialysis
3.Learn about hyperuricemia and its clinical manifestation as gout and its precipitating etiological factors and treatment
4.Also faced problem to ask a detailed history of patient especially about his Rat poisoning ,a psychological entity
12/1, 7:47 AM]:
M.Devi Sree
Roll:81
Long case : 30/60
Osce : 12/25
AETCOM : 2/5
Log book : 4/10
Blog:
Pajr:
Roll 82 Vivek https://82vivek.blogspot.com/
Name:- Vivek
Roll no. 82
Long case : 30/60
Osce : 12/25
AETCOM : 3/5
Log book : 6/10
Long case:-
OSCE and learning points:
85.Morampudi varshith
Name -varshith
Roll no -85
Long case : 30/60
Osce : 10/25
AETCOM : 2/5
Log book : 5/10
Osce and learning points:
Long case
[11/30, 7:19 PM] :
Mohammed wahaaj
Roll no : 83
Long case : 30/60
Osce : 12/25
AETCOM : 3/5
Log book : 5/10
Pajr link : https://chat.whatsapp.com/ LF8S5gSMeP4AydADFbUJnb
Elog link : https://mohammedwahaaj11. blogspot.com/
12/1, 8:15 AM]:
Name: Moovika
Roll 84
Long case : 28/60
Osce : 12/25
AETCOM : 3/5
Log book : 5/10
[11/30, 7:21 PM]
Name : M Siddu
Roll no : 86
Long case : 35/60
Osce : 14/25
AETCOM : 3/5
Log book : 5/10
Pajr link : https://chat.whatsapp.com/ JhRZNaHqd4D7EyoAQrYbYX
Elog link :https://86siddumudavath. blogspot.com/?m=1
12/1, 7:50 AM]:
M.Shwetha
Roll No.:87
paJR group link: https://chat.whatsapp.com/ EeNZdAp41zG0YNd5vxRx8u
Blog link:
12/1, 10:58 PM] :
Name: M.Shwetha
Roll no.:87
Long case : 30/60
Osce : 12/25
AETCOM : 3/5
Log book : 6/10
Blog link:
Learning points:
- I have learnt about the hess test which is positive in my patient and also importance of hematocrit value in dengue treatment.
-I have learnt input of fluids and output charting of fluids is important in management of this case.
- I have learnt Importance of treatment plan to avoid complications like dengue shock syndrome.
OSCE link:
12/1, 6:42 PM]:
Name Mythili
Roll number 88
Long case : 32/60
Osce : 12/25
AETCOM : 4/5
Log book : 7/10
Long case
Long case osce
Previous patient osce
PaJR group
[11/30, 7:41 PM]
Name : M. Aishwarya
Roll No : 89
Long case : 32/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
PaJR link : https://chat.whatsapp.com/ IaCOFcRkrzPHZOQU9x0CwB
12/2, 12:44 AM] :
Name : M. Aishwarya
Roll No : 89
E-log link : https:// 89aishwaryamuttamsetty. blogspot.com/2023/11/a-75-yo- female-with-sob-and-cough.html
OSCE link :
OSCE Q&A :
1) I have learnt about the difference between bronchial and cardiac asthma
2) I've learnt of how adipokines can cause reduced insulin sensitivity and related obesity, metabolic syndrome and diabetes
3) I've learnt how to differentiate between rapid acting and intermediate acting insulins based on their appearance alone and how to administer them.
4) I have learnt the 4 steps of management of asthma, difference between a hospital vs a non hospital setting.
5) I've learnt the importance of following up the patient's diet plan, post-treatment to make sure her diabetes is under control to negligible.
[12/1, 6:44 AM]:
Name : M. Raghavendra
Roll number : 90
Long case : 35/60
Osce : 13/25
AETCOM : 3/5
Log book : 7/10
Log book link:
pajr group link:
Learning points:
1. Importance of occupational impact on health
2. Indications of dialysis
3. Differentiation between arthritis and arthrgia clinically
4. To rule out other differentials based on history given
5. To differentiate between joint pain, muscle pain and bone pain
6. Rat poisoning effect on renal and other systems
12/1, 10:03 PM]:
Name:-N.Jasmisri
Rollno-91
Long case : 30/60
Osce : 12/25
AETCOM : 3/5
Log book : 6/10
My blog link:-
My learning points :-
-I have learnt that Regular Bp monitoring importance in dengue
- I have also learnt the importance of investigations like hess test, hemotrict value ,platelet count monitoring
-Pathogenesis of platelets detoriation in dengue
OSCE link:-
[12/1, 7:44 AM] :
Sneha Nadipi
Roll 92
Long case : 30/60
Osce : 12/25
AETCOM : 3/5
Log book : 6/10
Blog
PaJR
N. Lavanya Roll 93
Long case : 25/60
Osce : 12/25
AETCOM : 3/5
Log book : 5/10
P.Ananya
Roll number 94
Long case : 30/60
Osce : 12/25
AETCOM : 3/5
Log book : 6/10
Case:
Osce questions and learning points:
Name P Charitha
ROLL no 95
Long case : 32/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
Blog link
Pajr link
12/1, 9:25 AM]:
P. Sri Sai Sanjana
Roll no. 96
Long case : 30/60
Osce : 12/25
AETCOM : 3/5
Log book : 6/10
Log book link:
12/1, 7:41 AM] :
Name : P.V. Abhigna
Roll no: 97
Long case : 30/60
Osce : 12/25
AETCOM : 3/5
Log book : 6/10
PaJR link : https://chat.whatsapp.com/ IaCOFcRkrzPHZOQU9x0CwB
Log book link : https://abhigna97.blogspot. com/
Case learning points :
1. Cardiac Asthma: I have that asthma can have pulmonary or cardiac cause. A CCF can mimic the symptoms of bronchial asthma so it's crucial to explore CVS as well.
2. Adipokines and their role in the development of DM2, and metabolic syndrome.
3. The mechanism of action of Biguanides and long and short acting insulin.
4. Steps in management of acute severe asthma
5. Recognising the clinical features of asthma.
6. Learnt about follow up regarding educating the patient about their diet and counselling them regarding dietary modifications.
[12/1, 8:39 AM] :
Name: P. Chandana
Roll no:98
Long case : 30/60
Osce : 12/25
AETCOM : 3/5
Log book : 6/10
Log book link:
Learning points:
- Today I learnt that the metabolic disorders can be known and can make a diagnosis by just looking at the person.
- I learnt that the asthma can also be associated with cardiac symptoms and cardiac asthma can also be diagnosed.
- Adipokines can be related to the insulin sensitivity and diabetes
- Management of bronchial asthma
- Regular checkup and follow up of the patient is as important as treating the person.
[12/1, 6:56 AM]:
Name : p.vaishnavi
Roll number:99
Long case : 30/60
Osce : 12/25
AETCOM : 3/5
Log book : 6/10
PaJR group link:https://chat.whatsapp. com/IoaOjictetG13qksUJPJy4
Log book link:
12/2, 10:53 AM]:
Name : p.vaishnavi
Roll no : 99
Learning points:
I have learnt , importantance of history taking to know the main cause of the disease
How exposure to toxins effects the health
How Frequent use of NSAlDs
Causes injury to kidney and impair its function
Learnt about indications of dialysis
Learnt about renal parenchymal disease
PaJR group link:https://chat.whatsapp. com/IoaOjictetG13qksUJPJy4
[12/1, 9:01 AM]:
Name : P.Vasavi
Roll.no : 100
Long case : 32/60
Osce : 12/25
AETCOM : 3/5
Log book : 6/10
PaJR:
Case report
101-
-Palli Rakesh :https://101pallirakesh. blogspot.com/
Name :P Rakesh
Roll.no:101
Long case : 30/60
Osce : 12/25
AETCOM : 3/5
Log book : 6/10
OSCE and learning points:
102- Nikitha: https://nikithapalnati102. blogspot.com/
Name : P.Nikitha
Roll no : 102
Long case : 30/60
Osce : 12/25
AETCOM : 3/5
Log book : 6/10
Long case:-
Osce and learning points:
103- Pavan : https://pavanseshasai103. blogspot.com/
Name:- pavan
Long case : 30/60
Osce : 12/25
AETCOM : 3/5
Log book : 6/10
Learning points and osce:-
Pajr group link:-https://chat.whatsapp. com/L7PJPvSvX072gGOFiZtVOa
104- Jeshmitha Perumalla - https://jeshmitha104.blogspot. com/
Name : P.Jeshmitha
Rollno:104
Long case : 32/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
Learning points -
STATUS EPILEPTICUS
*maintenance and loading dose of phenytoin
* structural causes of CNS in epilespy
* importance of levitirecetam in status epilepticus
- community acquired pneumonia: auscultation-
characteristic difference between inspiratory and expiratory bronchial breath sounds (gushing & hollow sounds respectively)
-Differential diagnosis of bull neck
-In ckd patient - percussion of distended abdomen & shifting dullness
Pajr group link https://chat.whatsapp.com/ L7PJPvSvX072gGOFiZtVOa
105- Pranathi Reddy Zillella - https://pranathi105.blogspot. com/
Long case :
Long case : 32/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
Osce -
Learning points
• I have learnt about the various organisms causing pneumonia and their clinical manifestations.
• I have learnt to differentiate between coarse and fine crackles on ascultation.
• I got an oppurtunity to learn about ECMO - extracorporeal membrane oxygenation , its working priniciple and its significance in respiratory failure
• learnt about Changes occuring at the level of alveoli in ARDS
• In one of the dengue case presented by our peers, i got to learn about various mortality rates associated with different viruses
Name : Pranathi Reddy.Z
Roll no: 105
106- Ananya Pulikandala: https://ananyapulikandala106. blogspot.com/
Name - Ananya P.
Roll number - 106
Long case elog link - https://ananyapulikandala106. blogspot.com/2023/12/83yr-old- male-came-with-complaints-of. html?m=1
Long case : 32/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
OSCE questions and learning points -
Pajr group link -https://chat.whatsapp.com/ HBRM7C0TtUnKWMU2g5Zd5q
107
Name: P.Sujeeth
Roll no:107
Long case : 30/60
Osce : 12/25
AETCOM : 3/5
Log book : 6/10
108
R.Koushik Chandra
Name:Koushik
Roll no:108
Long case : 30/60
Osce : 12/25
AETCOM : 3/5
Log book : 6/10
Longcase:
OSCE and learning points:http:// 108koushikchandrarachuri. blogspot.com/2023/12/long- case-osce.html
109-R Sumanth raj
Name:- R sumanth raj
Roll no:-109
Long case : 30/60
Osce : 12/25
AETCOM : 3/5
Log book : 6/10
Learning points and osce:- http://sumanthrazz109. blogspot.com/2023/12/osce- question.html
110
Ramavath Gopala Krishna https://gopalkrishnaramavath. blogspot.com/2021/07/110- ramavath-gopal-krishna.html
Name :Gopal
Roll :110
Long case : 30/60
Osce : 12/25
AETCOM : 3/5
Log book : 6/10
Learning points and OSCE:
111
Riddhi Bhalla
Name: Riddhi Bhalla
Roll no : 111
Case report
Long case : 40/60
Osce : 14/25
AETCOM : 3/5
Log book : 6/10
Osce
PaJr
112
Rishika Koloti
Pre-final examination
Date -2/12/23
Name : Rishika Koloti
Roll : 112
Case presentation : http://rishikakolotimedlog. blogspot.com/2023/12/case-of- 25-year-old-female-with-fever. html
Long case : 40/60
Osce : 14/25
AETCOM : 4/5
Log book : 8/10
113
Riya Gupta
Name - Riya Gupta
Roll no- 113
Case report-
Long case : 40/60
Osce : 16/25
AETCOM : 4/5
Log book : 8/10
Learning points and OSCE-
PaJR-
114
Sai Ajay Bompalli
Long case : 30/60
Osce : 12/25
AETCOM : 3/5
Log book : 6/10
115
Sai Charitha Reddy
Name: Sai Charitha Reddy M
Roll no : 115
Long case:
Long case : 30/60
Osce : 12/25
AETCOM : 3/5
Log book : 6/10
Osce and learning pionts:
116
Sai Praneeth Bathineedi
Name: Sai praneeth.B
Roll no: 116
Long case:
Long case : 30/60
Osce : 12/25
AETCOM : 3/5
Log book : 6/10
OSCE AND Learning points:
117
Sai Prasanna Kasam
Name :Sai prasanna Kasam
Roll no :117
Long case : 30/60
Osce : 12/25
AETCOM : 3/5
Log book : 6/10
Learning points and OSCE:https:// 117saiprasannakasam.blogspot. com/2023/12/learning-points- and-osce-prefinal.html
118
Sai Sudhindra Babu Kusu
Long case : 28/60
Osce : 10/25
AETCOM : 3/5
Log book : 5/10
119
Sandela Roopesh
Long case : 28/60
Osce : 10/25
AETCOM : 3/5
Log book : 5/10
120
S. Nikhil Kumar
Name: S.Nikhil Kumar
Roll.no:120
Long Case:-
Long case : 30/60
Osce : 12/25
AETCOM : 3/5
Log book : 6/10
OSCE and Learning Points:-
Pajr Group link:-
121
Sanjay Bandaru
Long case : 25/60
Osce : 10/25
AETCOM : 3/5
Log book : 5/10
122
Vanshika Savla
Long case : 25/60
Osce : 12/25
AETCOM : 3/5
Log book : 6/10
123
Seemala Anjali
Name : Seemala Anjali
Roll no. 123
Long case : 30/60
Osce : 12/25
AETCOM : 3/5
Log book : 6/10
Osce and learning points:
124
Shaardul Shivam Jha
Name- Shaardul Shivam Jha
Roll no.- 124
Long case : 35/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
Learning points and OSCE- https://shaardul124.blogspot. com/2023/12/osce.html
125
Afrin. Sk
Name : sk. Afrin
Roll. No: 125
Long case : 30/60
Osce : 12/25
AETCOM : 3/5
Log book : 6/10
Learning points and OSCE :
Roll 139 150 151 153 154 156 157
163 164 169 172 173 174 176 181 184 186 190 194 195 196 197 were absent for the 2019 pre final held from Nov 28 to Dec 7
126
Singareddy Manasa
Long case : 35/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
Name : Singareddy Manasa
Roll no. : 126
OSCE and Learning points :
PaJR link :
127
Soumyadeep Biswas
Long case : 30/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
Name: Soumyadeep Biswas
Roll no. : 127
OSCE and learning points: https://127soumyadeepbiswas. blogspot.com/2023/12/osce.html
128
Subhiksha.R
Long case : 30/60
Osce : 12/25
AETCOM : 3/5
Log book : 6/10
Name: Subhiksha.R
Roll no: 128
Link to elog:
Link to OSCE questions:
Link to PaJR group:
129
Chandana Tallamraj
Long case : 35/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
Name: Chandana Tallamraj
Roll number: 129
Long case:
OSCE & key learning points:
Pajr group:
130
Tejomayi Algubelli
Long case : 28/60
Osce : 12/25
AETCOM : 3/5
Log book : 4/10
Name: Tejomayi A.
Roll No 130
• Long case:
• OSCE and learning points:
131
T. Durga
Long case : 30/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
Name: T Durga sri
Roll no. 131
132
T. Gowthami
Long case : 30/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
Name : Thogaru Gowthami
Roll no:132
OSCE and learning points:https://132gowthami. blogspot.com/2023/12/osce- questions.html
133
Thota Vaishnavi
Long case : 30/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
Name : Thota Vaishnavi
Roll no. 133
OSCE and learning points : https://thotavaishnavielog. blogspot.com/2023/12/osce.html
134
Tvisha D
Long case : 32/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
Name: Tvisha M. Dangeti
Roll no: 134
Case link:
OSCE and learning points:
PaJR:
135 UMR.Akanksha
Long case : 30/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
Name:- U.Akanksha
Roll no:-135
Case report:-
OSCE and learning points:-
136.
Dedeepya Vemuri
Long case : 30/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
Name: V.Dedeepya
Roll No.: 136
CASE LINK:
OSCE& Learning points:
137
Ujwala
Long case : 30/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
Name : V.Ujwala
Roll no:137
OSCE and learning points:
138
Vagisha Rani
Long case : 30/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
Name: Vagisha Rani
Roll no: 138
Blog link:
Pajr group:
Osce and Learning points:
139
Vamshitha Reddy
Absent
140
Vana Mounika
Long case : 30/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
141
Vikram adithya
Long case : 30/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
Name: vikram. Roll no: 141.
Osce and learning points:https:// 141vikramadithya.blogspot.com/ 2023/12/prefinal-practical- osce-learning-points.html
142
Vanka Divyasree
Long case : 30/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
Name: V. DIVYASREE
Roll no:142
OSCE and Learning points :
143
Vankadoth Sai Teja
Long case : 30/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
Name: Sai Teja
Roll no :143
OSCE AND LEARNING POINTS:
144
Varshitha Kalidindi
Long case : 25/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
145
Veebhuthi Dilliswar
Long case : 30/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
Name: Dilliswar
Roll no: 145
Long case:
OSCE and Learning points:
146
Venkata Meghana Badam
Long case : 30/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
Name: Venkata Meghana Badam
Roll no:146
Long case: https:// 146venkatameghanabadam. blogspot.com/2023/12/this-is- online-e-logbook-to-discuss- our.html
Osce and learning points:https:// 146venkatameghanabadam. blogspot.com/2023/12/prefinal- practical-osce-and-learning. html
147
Viswanath Garudadhri
Long case : 25/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
148
ADLA GREESHMA
Long case : 30/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
149
AKKETI RITHVIKA
Long case : 30/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
Name :A.Rithvika
Roll no :149
150
BADDAM HIMASRI REDDY
Long case : 25/60
Osce : 10/25
AETCOM : 3/5
Log book : 5/10
151
152. B.Ganesh
Long case : 30/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
OSCE and Learning points :
Pajr link:
153
Absent
154 CHINTHAKUNTLA SOWMYA RANI
Absent
155.CILIVERU JASWANTH RAJ
155. Jaswanth raj
https://jaswanthraj30.blogspot.com/?m=1
Long case : 30/60
Osce : 11/25
AETCOM : 3/5
Log book : 6/10
OSCE answers
156.GANTA BHANU SRI
Absent
157.GUNDABATHUNI SAI KIRAN
Absent
158.I AKHILA
Long case : 30/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
I.Akhila
Roll no-158
Osce and learning points https://inavoluakhila. blogspot.com/2023/12/158- akhilai-prefinal-osce-and- learning.html
159.IRUGURALA RAVALI
Long case : 30/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
Ravali Irugurala
Roll no 159
Pre final OSCE learning points
160.JARPLA RISHITHA
Long case : 30/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
Name :Rishitha jarpla
Roll number: 160
Long case E log link: https://rishithajarpla160. blogspot.com/2023/12/a63-yr- old-male-patient-with-fever- and.html
161.K SAI HARSHITHA
Long case : 30/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
K Sai Harshitha
Roll no: 161
OSCE AND LEARNING POINTS
162.KALLEM ALKEYA
Long case : 30/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
PREFINAL OSCE
163.KALLEM SHIVANI
Absent
164.KANDI SHIVANI
Absent
165.KEERTHI J MALLYA
Long case : 30/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
166.KOMIRESHETTY MANIDEEP
Long case : 31/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
K.manideep
Roll no: 166
OSCE and learning points :
Pajr link :
167.KOTHA KAVYA
Long case : 30/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
[12/6, 10:41 AM]: http://167kothakavya.blogspot. com/2023/12/gm-online- assessment.html
[12/6, 10:41 AM]: http://167kothakavya.blogspot. com/2023/12/osce-and-learning- points-51223-prefinals.html
168.KOTTEKOLA SREEJA
Long case : 30/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
169.LAKSHMI PRASANNA BADDAM
Absent
170.MAHANANDI MAHESH
Long case : 30/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
Name: M.Mahesh
Roll no: 170
Long case:
OSCE and learning points:
171.MANKAR ANJALI VILASRAO
Long case : 30/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
172.MARUPAKULA HAARIKA
Absent
173.MAYAKALA AJAY KUMAR
Absent
174.MD BILLAUDDIN
Absent
175.MOHAMMED KHIZER UDDIN
MOHAMMED KHIZER
Roll no: 175
Long case : 30/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
OSCE AND LEARNING POINTS
Rollno 77 VAISHNAVI
Long case : 30/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
176.MOTTE JAHNAVI
Referred
177.NAWAZ SAIF ALI SHAIK
Long case : 35/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
Roll No: 177
Name: N. Saif Ali
Blog Link:
Pre Final Blog Link:
Osce Learning Points:
178.NITHIN REDDY GAMIDI
Nithin Reddy
Roll no : 178.
Long case : 30/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
Blogspot link:
Blog link:
OSCE and learning points:
Pajr group:
179.NOMIKA ALLI
Long case : 35/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
180.PASHIKANTI MADHAV
Name:p.madhav
Roll no:180
Hall ticket no:1901006141
Long case : 30/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
Case link : https://180pashikantimadhav. blogspot.com/2023/12/prefinal- long-case-83-yr-old-male-with. html?m=1
181.PISIPATI ABHIRAM
Refered
182.PUJALA NIKHILA
P.Nikhila
182
Long case : 30/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
Blog link:
Osce link :
Pajr link:
183.PULAPARTHI JAHNAVI
Appeared earlier on 29th November (scroll up)
184.RUGVEDH NAIDU YALLA
Refered
185.S JESWANTH
S.Jeswanth
Roll No .185
Long case : 35/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
Blogspot link:-
OSCE and learning points:
PaJr link : https://chat.whatsapp.com/ EeSdwQ1e5olGLBWmkpqSmq
186.SAMA SOWMYA SRI
Refered
Sk.ishrath Parveen
Roll no.187
Long case : 30/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
BLOG LINK:
PRE FINAL LEARNING OSCE QUESTION:
188.SHIVANI KOMMERA
Long case : 40/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
Shivani Kommera
Roll 188
Blogspot link
Blog link
OSCE & Learning points
PaJr link
189.THATIKONDA SHARATH
Long case : 30/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
TSharath.
Roll No:-189.
Hall no:-1901006179.
190.VANGA TARUN VENKATA LAKSHMI NAGAMANI
Refered
191.VUTLAPALLY HITESH
Rollno:191
Name :Hitesh
Hall ticket no:1901006198
Long case : 40/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
Main blog id link:https:// hiteshvutlapally191.blogspot. com/?m=1
Case link:
Osce and learning points link:
192.YADAVALLI JAYA SRUJANA
Yadavalli .Jaya Srujana
Roll -192
Long case : 30/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
Blog link-
Prefinal
Osce link-
193.YELAGANDULA SIDDHARTHA
Y. Siddhartha
Roll No.: 193
Long case : 30/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
Blog link:
Osce and learning points:
194.TURGAA SATYA SRIDEVI KRISHNA HARIKA
Refered
195. K. KAVYA SREE
Refered
196. BELLAM SOWMYA
Refered
197. KALLEPALLI NEEHA SRUTHI
Refered
198. PALAGONI DIVYA
Name: Divya Polagoni
Roll No: 198
Long case : 30/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
Pre Final Blog Link:
Osce Learning Points:
199. TANGELLAMUDI RAHUL https://rahultangellamudi. blogspot.com/2023/12/17-year- old-female-with-fever-since-1. html?m=1
Long case : 20/60
Osce : 10/25
AETCOM : 3/5
Log book : 4/10
200 POTTI SAI KIRAN
P Saikiran. Roll no 200
Hall ticket no : 1801006133
Long case : 30/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
Blog case link :
OSCE AND LERANING POINTS:
201.P. MAYUKA
roll no. 201
name : P. Mayukha
Long case : 30/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
202.Syed sadat Hussain
Syed sadath hussaini
Roll no.: 202
Long case : 30/60
Osce : 13/25
AETCOM : 3/5
Log book : 6/10
HEMIPLEGIA: OSCE AND LEARNING POINTS
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