General medicine prefinal examination









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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 .  shortness of breath - grade 3 insidious
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50 year old female with fever, vomiting, burning micturition,SOB

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A 50yrs old female c/o fever, vomiting, burning micturition,SOB 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 box. Chief Complaints: C/O Fever since 10days, Burning micturition since 10days, vomitings since 10days (5-6 episodes),Grade 3 SOB since 10days History of Present Illness: Patient is apparently asymptomatic 10days back then she noticed fever low grade,continuous type not associated with chills and rigors H/o vomiting non projectile,non bilious,food as content C/o SOB Grade 3 since 3days C/o burning micturition after foleys i
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55yr old male patient with Hypokalemia associated with weakness for evaluation.

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 THIS IS AN ONLINE E LOGBOOK 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 A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS WITH AN AIM TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT. THIS E BLOG ALSO REFLECTS MY PATIENT CENTERED ONLINE LEARNING PORTFOLIO AND YOUR VALUABLE INPUTS ON THE COMMENT BOX IS WELCOME  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 history, clinical findings, investigations and come up with diagnosis and treatment plan.  A 55year old male came from kurmarthi , came to casualty with the complain of inability to lift his legs. COMPLAINTS AND DURATION:- The 55yr old male patient was apparently asymptomatic 7years ba
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