GM 2nd internal assessment answer sheet






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RHEMATOID ARTHRITIS

A 45yr old female came to causality with chief complaints of neck pain , headache and wrist and ankle joint pain since 4 yrs  𝐇𝐈𝐒𝐓𝐎𝐑𝐘 𝐎𝐅 𝐏𝐑𝐄𝐒𝐄𝐍𝐓𝐈𝐍𝐆 𝐈𝐋𝐋𝐍𝐄𝐒𝐒 :- Patient was apparently asymptomatic 4 yrs ago the she developed fever insidious in onset, not associated with chills and rigor.  𒊹︎︎︎ She developed headache diffuse in nature , not associated with nausea and vomitings since 4 yrs No H/o cough, cold at the time of fever 𒊹︎︎︎ No H/o giddiness 𒊹︎︎︎ C/o B/L wrist joint paina and ankle joint pains 𒊹︎︎︎ C/o Metacarpo phalanges pain (+) 𒊹︎︎︎ C/o Interphalanges pain (+) 𒊹︎︎︎ C/o Tenderness present over wrist,mcp, Ip 𒊹︎︎︎ H/o fever & episode in last 8months 𒊹︎︎︎ Last episode 20days back 𒊹︎︎︎ Fever last for 1day relieved after taking medication 𒊹︎︎︎ H/o oral ulcer on hard palate since 10days  𝐇𝐈𝐒𝐓𝐎𝐑𝐘 𝐎𝐅 𝐏𝐀𝐒𝐓 𝐈𝐋𝐋𝐍𝐄𝐒𝐒 :- 𒊹︎︎︎ H/o CVA left Up & Ll weakness &slured speech 10 years back 𒊹︎︎︎ H/o Appendectomy 8year back  𒊹︎︎︎
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OSCE PREFINAL EXAMINATION

1. 𝐖𝐡𝐲 𝐛𝐫𝐨𝐜𝐚𝐬 𝐚𝐫𝐞𝐬 𝐢𝐬 𝐚𝐟𝐟𝐞𝐜𝐭𝐞𝐝 ? • Broca's area is located in the frontal lobe of the brain, specifically in the left hemisphere. It's situated in the posterior part of the frontal gyrus, which is responsible for speech production and language processing. It is supplied by the middle cerebral artery. So in MCA infarct it can affect this brocas area and can lead to difficulty in speech 2. 𝐖𝐡𝐚𝐭 𝐚𝐫𝐞 𝐭𝐡𝐞 𝐬𝐞𝐧𝐬𝐨𝐫𝐲 𝐚𝐧𝐝 𝐦𝐨𝐭𝐨𝐫 𝐚𝐫𝐞𝐚𝐬 𝐬𝐮𝐩𝐥𝐥𝐢𝐞𝐝 𝐛𝐲 𝐌𝐂𝐀 𝐚𝐧𝐝 𝐰𝐡𝐢𝐜𝐡 𝐚𝐫𝐞 𝐚𝐟𝐟𝐞𝐜𝐭𝐞𝐝 𝐢𝐧 𝐭𝐡𝐢𝐬 𝐜𝐨𝐧𝐝𝐢𝐭𝐢𝐨𝐧?  • The middle cerebral artery (MCA) primarily supplies blood to various regions of the cerebral cortex. Sensory and motor areas supplied by the MCA include parts of the face, upper and lower limbs, and areas involved in sensory and motor functions. The specific regions can vary among individuals, but generally, the MCA contributes to the blood supply of the lateral convexity of the cerebral hemisphere.
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65 yr old female cva case

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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. Patient and his/her attenders have been informed and their consent has been taken. A 65 yr old female was brought to the casualty with  complaints of  • Difficulty in moving upper limbs and lower limbs since 3
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