INTERNAL ASSESSMENT -2

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57 M with CVA

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57 M came to casualty with c/o generalised  weakness since 1 month ,fever since 1 week,altered sensorium since 3 days. HOPI: Since 1 month he has been complaining of generalised weakness. Since 15 days he has been feeling cold(even though it is summer) and has been switching off all the fans in the house.  He has been suffering with constipation since 10 days. Has not passed stools at all(confirmed by the attender) He did not take any medication for it He also complained of abdominal distension/bloating due to not passing stools. Since 1 week he has fever insidious in onset gradually progressive, high grade. Associated with body pains.Not Associated with chills and rigor. Not relieved with medication.Not associated with nausea, vomiting, burning micturition, headache. Since 3 days -he fell in the washroom two times(on 22/5/1023)and was not able to get up. When his family members found him, he had slurring of speech and altered sensorium.They took him to the Nalgonda government...
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38 yrs old male with pedal edema , yellowish discoloration of eyes and epigastric tenderness.

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This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident 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. *CASE: A 38 yrs old male presented with the chief complaints of pedal edema and yellowish discoloration of eyes since 1 week,and epigastric tenderness since 5 days . HISTORY OF PRESENTING ILLNESS:  Patient was apparentl...
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34YEARS OLD FEMALE WITH FEVER

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This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident 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. *CASE: 34 years female, from nalgonda ,agriculturer by occupation came to OPD with fever since 6 days. HOPI: Patient is apparently asymptomatic 3 days back then she developed fever 3 days ago which is raising in the eve...
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