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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 type, present s
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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 relieved on sitting position ,increase
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prefinal examination 2k19

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A 45 YR OLD FEMALE

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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: 9-12-2022 CHEIF COMPLAINT: A 45 yr old female patient Anganwadi worker by occupation came to OPD with a C/O :     -Blister formation on toe of Lower limb since 1 month    - No urine output since 5 days     - Pain abdomen since 5 days     - SOB since 3 days      HISTORY OF PRESENT ILLNESS: - Patient Was apparently asymptomatic 1 month back. - She developed blisters over toe which subsided after taking treatment at local government hospital ,treated by regular dressings -At that time she was investigated and came to be diagnosed as DIABETES MELLITUS TYPE-II  ,started with T metformin 500mg O
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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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