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1801006200 - SHORT CASE

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1801006200 - SHORT CASE     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 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 23 YEAR OLD FEMALE CAME TO OPD  CHIEF COMPLAINTS -  Left abdominal pain since 1 year HISTORY OF PRESENTING ILL NESS -   Patient was apparently asymptomatic 9 years back

181006200 - LONG CASE

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181006200 - LONG CASE 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 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 A 42 YEAR OLD MALE CAME TO OPD WITH CHIEF COMPLAINTS - bilateral lower limb swelling since 15 days -shortness of breath since 2 days HISTORY OF PRESENTING ILLNESS - patient was apparently asymptomatic 15 days back then he noticed bilateral lower limb swelling which was insidious in onset gradually progressing pitting type extending up to knee  -later developed shortness of breath since 2 days which was initially grade 2 progressed to grade 4 associated with orthopnea and paroxysmal nocturnal dyspnea no h/o cough , chest pain no h/o decreased urine output  no h/o fever, abdominal discomf

A 32 year old male with pain abdomen

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 A 32 year old male with pain abdomen 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 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 CHIEF COMPLAINTS  a 32 year old male came to OPD with  pain abdomen since 1 day HISTORY OF PRESENTING ILLNES patient was apparently assymptomatic 1 day back later he developed diffused abdominal pain at night which is insidious in onset and non radiating type which aggregated  after the food intake not relieved on medication  H/o passing hard stools in 3 days H/o of decreased bowel movements since yesterday evening  No h/o of fever , nausea, vomiting,diarrhoea  No h/o regurgitation of food ,or acid reflux  No h/o burning micturition, decreased urine output PAST history P

A 35 year old female with viral pyrexia

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A 35 year old female with viral pyrexia 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 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 Chief complaints 35yr old female presented with chief complaints of fever since 10days Pain abdomen since 10days Generalised weakness since 10days  Vomitings since 10days Loose stools since 10days Burning micturition since 10days History of presenting illness Patient was apparently assymptomatic  10 days back then developed fever which was insidious in onset which is contin uous which is low grade and associated with chills which subsided with medication for one hour .  Vomiting s since 10 days which is non projectile non bilious with 3 episodes of frequency and food p
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  A 75 YEAR OLD FEMALE WITH SOB AND CHRONIC COUGH WITH BILATERAL PEDAL EDEMA 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 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 CHIEF COMPLAINTS A 75 year old female came to OPD with chief complaints of  shortness of breath with fever since 2months  oliguria and bilateral leg swelling followed by face swelling since 30 days HISTORY OF PRESENTING ILLNESS Patient is apparently normal until age of 30-40 years where she used to experience shortness of breath , sneezing , after exposure of hay or dust for which she is not treated   20 years back she developed fever with cough where fever is not associated with chills subsided on medication and cough associated wi
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  INTERNAL ASSESSMENT 2 general medicine