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55yr old M patient with AKI,?heart failure and below knee amputation

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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 inputs on the comment" 55 yr old male patient from chikatmamidi ,mason by occupation came to the opd with the chief complaint of  -pedal edema ,decreased appettite since 1 mnths  -SOB since 3 days -decreased urine output since 2 days - fainting,wheezing sounds.  History of present illness:- Patient was apparently assymptomatic before 2 months back, later he slowly developed pedal edema ,decreased urine output and had fainting on nov 15th. For which he visted the government hospital(creatinine level increas...
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   33 year old male came to the casuality with chief complaints of : Abdominal distension since 2 months B/L pedal edema since 2 months Scrotal swelling since 2 months  HOPI :  33 year old male got married 9 years back , separated from his wife and children since 5 years due to family issues .  After separation with his wife  ,patient started taking half a bottle of whisky every day . 3 years back he had history of abdominal distension and pedal edema for which he visited local hospital and was diagnosed as liver disease and  used medication for a while and stopped  , he was diagnosed as diabetic back then and on treatment metformin 500 mg . 8 months back : He had abdominal distension and yellowish of eyes and used herbal medication - he did not get any relief for it , his symptoms got aggravated then he visited other hospital with abdominal distension and SOB at rest , back then he was diagnosed as DCMP secondary to alcoholism with Chronic Liver ...

70 year old male patient with altered behaviour and involuktary movemnts of limbs

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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 patients clinical problems with collective current best evidence based inputs. This e-log book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome." A  70 year old male came with chief complaints of :  With Altered behaviour since afternoon. And  Involuntary movements of the both upper limbs and lower limbs since 4pm along with loss of speech and involuntary movements of the mouth.  HOPI:  Patient was security guard  20 years back and now since 20 years he is not doing any work. He was normal till 1 month back and started developing decreased urine output, which was gradually progressive. No h/o of pedal edem...

Case 9

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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 patients clinical problems with collective current best evidence based inputs. This e-log book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome." A 60 yr old female presented to opd with chief complaints of vomiting since 20 days fever since 2 - 3 days abdominal pain since 2- 3days HISTORY OF PRESENT ILLNESS Patient was apparently asymptomatic 20 days back then she had 4-5 episodes of vomiting which is non projectile and non bilious non blood tinged and had fever 2-3 days back and abdominal pain since 2 -3 days  Patient also gives history of joint pains she is unable to walk HISTORY OF PAST ILLNESS Patient gives the...

Internal assisment 2

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Question 1  Anatomical and etiological localisation for hemiparasis and furthur management Question 2  Etiology pathogenesis clinical features management complications of acute pancreatitis Short questions Question 3 Dengue fever clinical features and complications Question 4 Cushings syndrome  Question 6 Cardiogenic pulmonaru edema Question 7 Rheumatoid arthritis Question 9 Heart failure Question 10 Ascites Question 11 Pyrexia of unknown origin Question 12 Question 13 Evaluation of lower back ache Question 14 Renal artery stenosis Question 15 Acute kidney injury Question 16  Oral hypoglycemic agent Question 17 Microvascular and macrovascular complications of diabetes Question 19 Metaboloc acidosis Question 20  Iron deficiency anemia