First Internal assessment

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58 year old male with CKD

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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 signed 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 clinical problems with collective current best evidence based inputs. CHIEF COMPLAINTS A 58 yr old male patient farmer by occupation came to opd with chief complaints of sob and pedal edema since 1week HOPI Patient was apparently asymptomatic 1month back then he developed  Decreased urine output since 1month sob which is of grade 4 and he also had pedal edema along with facial puffiness Since 1week  He is also having chest pain which is radiating to back since 1week No history of fever,cold and cough PAST HISTORY  Known case of hypertension since 3yrs He is also on MHD since 3yrs No history of DM, TB,Epilepsy, asthma, Thyroid abnormalities and CAD FAMILY HISTORY: No significa...
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65 yr old female abdominal pain

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THIS IS AN ONLINE E LOG BOOK TO DISCUSS Oassosciated UR PATIENT'S DE - IDENTIFIED HEALTH DATA SHARED AFTER TAKING HIS / HER /GUARDIAN'S SIGNED 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 CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT .           GENERAL MEDICINE Pre final practical Chief complaints: A 65  yr old female patient house wife came to opd with chief complaints of abodminal pain for further treatment HOPI Pateint was apparently asymptomatic 45 days back and then developed abdominal Pain which is insidious in onset,  continuous in nature from epigastrium  radiating to left lumbar, pain relieved on leaning forward in sitting Position and on taking medicines, associated with vomitings which is non projectile non bilious, with food particles, 2 times per day for one week and associated with fever ...
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55 yr old male with viral pyrexia and thrombocytopenia

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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 SIGNED 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 CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT . A 55 year old male farmer by occupation, resident  of Nalgonda came with the chief complains of  Fever since 5 days which is of low grade, intermittent and relieved on local medication. Not associated with chills and rigors.  relieved on medication. Headache in the frontal region  No h/o vomitings, blurring of vision giddiness,cold,cough,SOB, melena,bleeding gums,hematuria, rash. No other complains Went to local RMP for evaluation of fever and Ns1 was positive.  brought to our hospital in view of ns1 positive PAST HISTORY: No h/o   HTN, DM,TB Asthma, Epilepsy,CVD. PERSONAL HISTORY:...
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