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Showing posts from January, 2022

KSHITIJSHARMA CPS JAN-2022

  Clinical Problem Solving- January 2022 I have been given the following  Assignment   in  an attempt to read,  comprehend, analyze, reflect upon and discuss captured patient centered data. QUESTION 1 Please go through one of  the case reports in the conference link shared above and provide your critical appraisal of the captured data in terms of completeness, correctness and ability to provide useful leads to analyze the diagnostic and therapeutic uncertainties around the cases shared. SOLUTION 1     ( CLICK ON IT ) QUESTION 2 Please analyze the linked case report current patient data by first preparing a problem list for each patient in order of perceived priority (based on the shared data) and then discuss the diagnostic and therapeutic uncertainty around solving those problems.  SOLUTION 2 QUESTION 3  Include the review of literature around sensitivity and specificity of the diagnostic interventions mentioned and same around efficacy of the therapeutic interventions mentioned for

CPS JAN-2022 QUESTION 2

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CASE-1 MULTIPLE MYELOMA PROBLEM Solution Anemia 1 unit of PRBC transfusion Oedema INJ. Lasix  20 mg IV/BD Bacterial Infection ( Gram +ve cocci and gram +ve bacilli were found in the sputum sample) INJ. Augmentin 0.625 gm/I.V./BD TAB. Azithromycin 500 mg PO/OD   CASE-2 NEUROBEHCET'S DISEASE PROBLEM Solution Hypothyroidism Thyronorm ECOSPIRIN Behcet's(Auto-immune disease) Methylprednisolone   CASE-3  IATROGENIC CUSHINGS SYNDROME PROBLEM Solution Tinea Corporis Itraconazole Lulifin Amlorfine Fucidic acid cream Saline compress Atarax Hyperpigmented striae Tretin CUSHINGS syndrome Hisone Hypertension Telma followed by Telma AM Cellulitis Augmentin   CASE-4   OSA PROBLEM Solution Hypertension Olmesartan , Amlodipine OSA ·  CPAP ·  Mandibular assist Device     CASE-5 NEURODEGENERATIVE DISORDER Patient Problem Solution Deviation of Mouth to Right side (3 years ago) Tab. ECOSPIRIN 75mg ATORVA 40mg *6 months   Anxiety, Agitation , Sleeplessness TAB. LORAZEPAM (only if the PT is sleepless