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Case history - 9

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 "This is online E log book to discuss our patients de- identified health data shared after taking his or her guardian's signed informed consent hear we discuss our individual patients problems through a series of inputs from available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs.This E log book also reflex my patient centered online learning portfolio and your valuable inputs on comment box is welcome."   A 19 year old male came to casuality with chief complaint of fever , cough , nausea since since 3 days .  History of present illness :  Patient was apparently well before  3 days back then he developed  high grade fever with chills and it is intermittent  , cough . Patient also complaints of nausea , generalized body pains . And also burning micturition and constipation since  3 days. No history of vomiting.  No history of diarrhoea.  Past hi...

Case history - 8

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 "This is online E log book to discuss our patients de- identified health data shared after taking his or her guardian's signed informed consent hear we discuss our individual patients problems through a series of inputs from available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs.This E log book also reflex my patient centered online learning portfolio and your valuable inputs on comment box is welcome." A 50 year old male patient came to casualty with chief complaint of seizures. History of present illness :  Patient was apparently asymptomatic  6 months back then he developed  hemiplagia,  deviation of mouth  to right side.  2 months back he got admitted in hospital because of altered sensorium. 2 days back patient experienced two episodes of seizures . First  episode was in the morning  at around 7:30 am . Second episode was on the same day at ar...

Case history - 7

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  "This is online E log book to discuss our patients de- identified health data shared after taking his or her guardian's signed informed consent hear we discuss our individual patients problems through a series of inputs from available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs.This E log book also reflex my patient centered online learning portfolio and your valuable inputs on comment box is welcome." A 53 year old male patient came  to the casuality with chief complaints of fever and shortness of breath , pedal edema  since 1 month. History of present illness :  Patient was apparently asymptomatic 1 month back then he developed fever , shortness of breath , pedal edema. Fever has subsided after using medication .  No history of decreased urine output. PAST HISTORY :  History of hypertension since 1 month . No history of  -  Diabetes mellitus  ...

Internal assessment - 2

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1. Anatomical and etiological localisation for hemiparesis and further management  2. Etiology pathogenesis clinical features  management  complications of acute pancreatitis  3. Dengue fever  clinical features and complications  4. Cushing syndrome  5. Mandibular advancement device  6. Cardiogenic pulmonary edema  7. Rheumatoid arthritis  8. Leptospirosis  9. Heart failure  10. Ascites  11. Pyrexia of unknown origin   12. Drug induced liver injury  13. Evaluation of lower back ache  14 . Renal artery stenosis  15. Acute kidney injury  16. Oral hypoglycemic agent  17. Microvascular and macro vascular complications of diabetes  18. Lights criteria  19. Metabolic acidosis  20. Iron deficiency anemia 

Case history - 6

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" This is online E log book to discuss our patients de- identified health data shared after taking his or her guardian's signed informed consent hear we discuss our individual patients problems through a series of inputs from available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs.This E log book also reflex my patient centered online learning portfolio and your valuable inputs on comment box is welcome." A 20 year old male patient came to the casuality with chief complaint of fever since 5 days. History of present illness :  Patient was apparently asymptomatic  before 5 days then he developed fever .  Fever is not associated with chills and rigors. No history of loose stools , vomitings. No history of  burning micturition , shortness of breath , cough. No history of hematuria , Malena , bleeding gums. Past history :  Patient is not a known case of diabetes , hypertensi...

Case history - 5

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 "This is online E log book to discuss our patients de- identified health data shared after taking his or her guardian's signed informed consent hear we discuss our individual patients problems through a series of inputs from available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs.This E log book also reflex my patient centered online learning portfolio and your valuable inputs on comment box is welcome." A 65 year old male patient came to the casuality with chief complaint of fever, generalized weakness,  decreased urine output ,burning micturition ,bipedal edema. History of present illness :  Patient was apparently asymptomatic 2 months back then he developed generalized weakness, burning micturition , decreased urine output, fever, bipedal edema. Patient was diagnosed with renal acute kidney infection secondary to urinary tract infection. Patient was advised to take dialysis a...