prefinal examination 2k19

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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  ...
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A 46 YR OLD MALE

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This is an online e-log platform to discuss case scenario of a patient with their guardians permission.  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 a diagnosis and treatment plan. A 46 year old male who is resident of bhongir and by occupation a Barber came to OPD on 11th of January at 4:10 pm. CHIEF COMPLAINTS: Patient came to OPD 7 days ago With chief complaint of  Fever on and off episodes since 12 days Loss of appetite since 12 days Pedal edema since 7 days Shortness of breath since 7 days Jaundice since 7 days HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 12 days back then he complained of fever which is low grade, intermittent, on and off episodes get relieved on medication.  -Patient complained of B/L pedal edema present below the knees, pitting t...
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