Paper -2 general medicine .prefinal examination







 

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1601006100-short case

29YEAR OLD FEMALE WITH SOB, EDEMA,FACIAL PUFFINESS. PATIENT CAME TO CASUALITY WITH cheif complaints of - B/L PEDAL DEMA - 20 DAYS FACIAL PUFFINESS - 20 DAYS BREATHLESSNESS - 1 DAY  HOPI: PATIENT WAS APPARENTLY ASYMPTOMATIC 10 YEARS BACK THEN WAS DIAGNOSED WITH DM-1 AND IS ON INSULIN MITARD (20U-X-16U).                 -SHE HAD 2 EPISODES OF WEAKNESS, UNCONTROLLED SUGARS FOR WHICH SHE WAS ADMITTED FOR A DAY &DISCHARGED ( 1ST EPISODE 5YEARS BACK AND 2ND EPISODE 3 YEARS BACK RESPECTIVELY).                                     -.ON NOV 2022 PATIENT WAS TAKEN TO GOVT HOSPITAL I/v/O SOB AND WAS DIAGNOSED WITH DENOVO HYPERTENSION, UNCONTROLLED SUGARS ( STARTED ON ? HTN MEDICATION).                            -.ON 2ND JAN 2023, SHE HAD EPISODES OF VOMITINGS, LOOSE STOOLS AND WAS ADMITTED IN...
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K.SWARNA MUKHI ROLL NO-198

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40M WITH DECREASED URINE OUTPUT SINCE 4DAYS. 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 is omission of info...
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40yr/ F with facial puffiness since 1 year.

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​ A 40/F Came with complaints of    1)Facial puffiness since 1 year  2)Itching all over the body since 1 year  and developed multiple plaques on abdomen and Lower limbs.                                                             3)abdominal distention since 1 month. 4)Sob on exertion since 1 month. 5)pedal edema since 5 days pitting type. H/O PRESENT ILLNESS 1)Patient was apparently asymptomatic 1 year back then she developed abdominal distension.           2)facial puffiness,itching all over the body                3)sob on exertion since one month.                              4)5 days ago she developed pedal edema (grade3) of both limbs.           ...
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