​paper -1 general medicine

Prefinal examination 


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1601006100 long case

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 53 YR OLD MALE WITH B/L PEDAL EDEMA.                June 12,2023. 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 and your valuable inputs on the comment box is welcome. CASE:- A 53 year old male who owns a hotel by occupation,came to the opd with  CHEIF COMPLAINTS: C/O of bilateral pedal edema since 20days. C/O of decreased appetite since 20days . HISTORY OF PRESENT ILLNESS: patient was apparently asymptomatic 20days back then developed bilateral pedal edema pitting type extending upto the knee , insidious in onset gradually progressive since one ...
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 70M WITH B/L PAIN AND SWELLING IN BOTH UPPER LIMBS AND LIMBS  This is an a 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 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 The patient/ attender was informed the purpose of the information being acquired. An informed consent was taken from patient/ attender and there i...
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1601006100-long case 50 YEARS OLD MALE WITH SOB AND GENERALISED EDEMA

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March15,2023 50yr old male patient came to casuality with cheif complaints: Shortness of breath since -10days Swelling of upper and lower limbs since-6days Decreased urine output since - 6days HISTORY OF PRESENT IllNESS: -patient was apparently asymptomatic 1year back the he had SOB which is intermittent type and then he was also diagnosed with CKD 1year back -10days back he had sudden onset of SOB which is grade IV -orthopnea present -paroxysmal nocturnal dyspnea present -EDEMA of both upper and lower limbs . Lower limb edema which is Pitting type upto thigh  PAST HISTORY: -he was asymptomatic 10 years ago  -History of fall from tree then onwards he developed backache and neckpain .             -3yrs back he had fever ,cough,loss of appetite for 2months and had been diagnosed with tuberculosis and diabetes. -he took anti tuberculosis therapy for 6months and on oha since then. -Seasonal SOB with wheeze (since 3 years) on and off and with CKD 1 y...
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