General medicine internal one

 



















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A review of optimizing clinical complexity around fever in Narketpally

 Draft ??? 17/05/2025 Draft: Optimizing Clinical Complexity Around Fever in Narketpally Introduction Febrile Illness is among the most commonly seen clinical symptomatology and presents a  diagnostic challenge in resource-limited and epidemiologically complex regions like Narketpally, Telangana. This semi-urban setting experiences a broad spectrum of febrile illnesses influenced by seasonal patterns, endemic infections, and a dual burden of communicable and non-communicable diseasesThis review of 77 cases of a wide array of fever diagosis and its management would help us understand the challenges faced by healthcare providers and patients to the challenges faced with this clinical complexity. Optimizing the clinical approach to fever in such a context necessitates a refined, context-specific strategy. Clinical Complexities and Challenges Diagnostic Overlap : The overlapping symptomatology of many febrile illnesses, such as myalgia, rash, and headache, complicates early diag...
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general medicine elog

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 Anahita Behara  roll no.08 This is 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 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 . Case discussion A 55 year old male resident of Nunavathanda came to opd with Chief complaint of Pain abdomen at right hypochondrium and lumbar region , decreased appetite & SOB (shortness of breath) since 20 days for which he went to a local hospital and diagnosed as Multiple liver abscess(? Pyogenic)-unliquified and treated with IV antibiotics. No H/O Fever,vomitings,loose stools,no other complaints H/O TB 10 years back used medications fo...
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Dandy walker malformation

INTRODUCTION  https://www.ncbi.nlm.nih.gov/books/NBK538197/  Dandy-Walker malformation or syndrome is a rare congenital neurological anomaly that affects the development of the cerebellum, the region of the brain responsible for motor coordination and balance. This posterior fossa anomaly is characterized by agenesis or hypoplasia of the vermis and cystic enlargement of the fourth ventricle, causing upward displacement of the tentorium and torcula. Most patients have hydrocephalus at the time of diagnosis. Dandy-Walker malformation is the most common posterior fossa malformation, and it typically occurs sporadically. The syndrome can manifest with a wide spectrum of neurological and developmental symptoms, making timely recognition and management crucial for improving patient outcomes CASE REPORT  A 13 year old boy presented to the general medicine OPD of KIMS, Narketpally on 17th May 2025 , with the following complaints dribbling of urine from the back of the p...
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