General medicine prefinal examination









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58 year old male with SOB

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A 67 year old female patient with CKD

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  This is an online e log book to discuss our patient de- identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. This E blog also reflects my patient centered online learning portfolio.  • Chief Complaint :- A 67 years old female came to OPD with chief complaints of -pedal edema since - 3months. -Shortness of breath since - 3 months - Decreased urine output since 3 months.  • History of present illness :- Patient was apparently asymptomatic 1yr back then she noticed decreased  urine output and was diagnosed to have  heart failure and renal  failure and started on conservative management.  Then 3months back she noticed increased Bilateral pedal edema -pitting type, extending till ankles .  s...
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