prefinal examination 2k19

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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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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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A 58 YR OLD MALE WITH CKD

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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 58 yr old male patient Daily worker by occupation Came to OPD on 11 January 4.57pm CHEIF COMPLAINT: Patient came to OPD 7 days ago with chief complaint of    Shortness of breath since 7 days    Cold & cough since 6 days HISTORY OF PRESENT ILLNESS:  - Patient was apparently asymptomatic 1 yr back, then he developed Shortness of breath, cough, pedal edema, decreased urine output, distended abdomen - He was taken to hospital and diagnosed to have renal failure and heart failure  - He was suggested dialysis but refused and was on conservative management - SOB grade III reli...
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