General Medicine

 CASE REPORT-   https://shaardul124.blogspot.com/2023/12/prefinals-case.html LEARNING POINTS-  1 Difference between rheumatoid arthritis and osteoarthritis 2 Different etiologies and presentations of vertigo  3 Romberg test demonstrating sensory ataxia v cerebellar ataxia-  “ For sensory ataxia and cerebellar ataxia, their Romberg’s signs are both positive, but there are some differences. The patient can keep standing steady during the eye-opening phase, and standing unsteadily, wobbling, or even falling in the closed eye phase ( Franchignoni et al., 1984 ), as shown in  Figure 1 . The cerebellar ataxia patients were unstable in the stage of closing eyes and opening eyes, and tend to tilt toward the diseased side of cerebellum” “The maintenance of human balance mainly depends on the coordination of vestibular system, visual system and proprioceptive system ( Maurer et al., 2001 ). In an upright position, a normal person can stand steadily when the eyes open and close; but when two or m

   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.   OSCE/discussion-  https://shaardul124.blogspot.com/2023/12/osce.html 63 year old housewife from Nalgonda  Chief complaints- Vomiting 5 episodes 3 days ago History of present illness-  Patient was apparently alright 1 year back then developed vomiting associated with giddiness and pain. she came to our hospital and vomiting subsided with treatment. She was asked to take Vertin 24 (betahistine) at discharge. she took the medication for 3 months and then stopped after consulting with her physician. She had mild episodes of