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71 year old male with c/o decreased urinary output and rt lower limb cellulitis

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This is an 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 patient's clinical problems with collective current best evidence based inputs.  This E log book also reflects my patient centered online learning portfolio and your valuable comments on 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 . Case based OSCE along with Bloom's learning levels acheived Patient came with c/o decreased urinary out put since 4 months    with right lower limb cellulitis since 1 month  Patient
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INTERNSHIP LEARNING AND PROCEDURES PERFORMED

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  Anecdotal self reflections on their internship learning with some video  evidence of procedures performed  MY INTERNSHIP:-  Iam posted in medicine posting from 31 st july to 30 sept  Of this  ICU :- (1st august -6 th august)  Learned about VENTILATOR Assisted in 6 intubations  Done CPR TOOK SAMPLES  ABGs were taken by me  ABG sample from brachial artery                          Done procedure’s :- 4 ryles ; 5 foleys catheterisation  Learned how to use bipap machine   NEPHRO :- (7 th august - 12 th  august ) Learned about procedures like central line . Monitored patients in dialysis  Learned about the process of dialysis ; types of dialysis ;  Assisted in 4 central lines  Complications of dialysis  Done CPR.  WARD :-  Monitored patients in the nyt Took samples of FBS ; PLBS; HBA1C ; RFT ; LFT    Done IV canulation  PSYCHIATRY:- 15 August     to 1 st sept  MY PSYCHIATRY :-  I came across a patient , who was diagnosed with DISSOCIATIVE DISORDER. Diagnosis DISSOCIATIVE DISORDER Case Hist
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