GM 1st internal exam


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30 years old female with c/o neck stiffness

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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. A 30 yr old female resident of adividevulla, clerk  by occupation came to OPD with cheif complaints of neck stiffness since 2 days. HISTORY OF PRESENTING ILLNESS:- Patient was apparently asymptomatic 5days bac
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OSCE learning points - 200 P sai Kiran

200 - P sai Kiran  OSCE -learning points  Pre final examination :- Dystonia  dystonia is a movement disorder characterized by sustained or intermittent muscle contractions causing abnormal, often repetitive, movements, postures, or both. What Types of dystonia ? General dystonia Hemi dystonia  segment dystonia  Focal dystonia -blephrospasam,cervical,oromandibular , crank-cervical ,axial and limbs What is drug induced dystonia? Cervical dystonia is condition that causes your neck muscles to contraction involuntarily. Cervical Dystonia caused  from abnormal functioning of the basal ganglia which are collection of sub cortical nuclei which are used for modulation and return function of cortex. Drug induced Dystonia resulted from imbalance between Anticholinergics and dopaminergic receptors I.e blockage of dopamine receptors    What are the Symptoms in cervical dystonia? Spams :muscle tighten, hard and unable to relax ,sometimes muscle may twitch and jerk   Roaring of head Tilting  of head
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