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General medicine long case roll no 6

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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 CHIEF COMPLAINT : A 60 years old female came to opd with chief complains of 5 episodes of vomitings since yesterday And there is a history of snake bite at right angle region  Pain and swelling at the bite site and compliments of facial puffiness and has a complaint of decreased urine output since a day History of present illness: Patient was apparently asymptomatic a day back later she developed 5 episode of vomiting and facial puffiness and decreased urine output due to snake bite Pain and swellin

GENERAL MEDICINE LONG CASE FINAL EXAMINATION

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January 20 2023 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  69 year old male patient with breathlessness and cough with sputum  Cheif complaint  Patient complains of breathlessness since 4days  and cough since 3days.  History of present illness  Patient was apparently asymptomatic 4 days back then he developed breathlessness with gradual onset grade 2-3 associated with chest tightness ,wheeze , seasonal variation, aggrevated on cool air and dust.  Cough with sputum since 3 days ,  mucopurulent, non blood stained, not foul smelling, no season

CKD-GENERAL MEDICINE SHORT CASE

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January 20 2023.                                             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  Date of admission 19/01/2023 CHIEF COMPLAINT : Patient was apparently asymptomatic 6 months back then he developed fever chills rigors with vomiting and was found to have increased creatine ( diagnosed as renal failure) later followed up after 5.1 creatine and conservative management left follow up for 4 months History of present illness :   Patient was apparently asymptomatic 4 days back then he developed fever intermittent type, no diur

A 30 year old male with altered behaviour

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This is an online e-log platform to discuss case scenario of a patient with their guardians permission.  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 histoty, clinical findings, .investigations and come up with a diagnosis and treatment plan.  30 year old male patient resident of Gudipally came to the casualty on 23/11/22 of altered behaviour since yesterday   Involuntary micturition since yesterday Giddiness since morning HOPI. A Patient was apparently asymptomatic till 12 am last night then he started behaving abnormally which was sudden in onset in terms of not .responding when spoken to,irrelevant talk which is repetitive and self talking.patient is irritable every few minutes and abuses family members at times. Patient had history of alcohol consumption since 10 years currently 6 to 10 units daily throughout day,reports craving for alcohol,