prefinal examination 2k19

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70 year old male with CKD

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7 March 2022 This is an online e-log book to discuss our patient's de-identified health data shared after taking his/her/guardian's 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.  CHIEF COMPLAINT:    70 year old Male patient,farmer by occupation ,came to the OPD with chief complaint of shortness of breath since 2 months ,pedal edema since 2 months HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 20 years ago 20 years ago-pt complained of fever continuously ,Went to a local hospital and was diagnosed with Diabetis and Hypertension 2 yrs back pt developed B/L pedal edema, diagnosed with renal failure  HISTORY OF PAST ILLNESS:  Known case of Hypertension and Diabetes Not a K/C/O of Tuberculosis,Asthma,CAD PERSONAL HISTORY: Appetite - Normal Diet- mixed Bowel
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A 55 yr old male with CKD on MHD

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This is an online e-log book to discuss our patient's de-identified health data shared after taking his/her/guardian's 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. Date of admission:21-11-22 CHIEF COMPLAINT:  55 year old Male patient ,farmer by occupation Came to OPD with chief complaint of burning micturition since 2 days  ,pedal edema since 2 months HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 6 months back then he developed CKD with pedal edema  3 dialysis completed till now Complaints of burning sensation since 2 days HISTORY OF PAST ILLNESS: K/c/o Hypertension since 20 yrs on medication ( Nicardia 10mg-PO/OD) Not a K/c/o Asthama,Diabetes,epilepsy,TB PERSONAL HISTORY: Appetite-normal Diet-mixed Bowel and bladder Movement-Regular No allergies  Alc
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A 55 YEAR OLD MALE WITH ACUTE PANCREATITIS

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This is an online e-log book to discuss our patient's de-identified health data shared after taking his/her/guardian's 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. Date of admission:31-10-2022 CHIEF COMPLAINT: 58yr old male patient ,he's a cook by occupation came to casuality with a C/O pain in upper abdomen, with vomitings since yesterday morning. HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic upto yesterday  Later he developed pain in upper abdomen Which was sudden in onset Progressive and non radiating and not relieved on medication. H/O Vomiting since today mrng 5-6 episodes,water as content,non projective ,non bilious No H/O fever, constipation, loose stools Patient started drinking alcohol 15yrs back ,he consumes 90ml daily at night.  HISTORY
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