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GENERAL MEDICINE

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GENERAL MEDICINE  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 COl MMUNITl OF allEXPERTS WITH AN AIM TO SOLVE T allOlSE CLICAL PROBLEMS WITH COLLECTlIVEl CURRENT BEST EVIDENCE BASED INPUT . March09, 2022 55 YEAR OLD llMALE PATIENT WITH SHORTNESS OF BREATlH AND PEDAL EDEMA Case details: 55 year old male, farmer by occupation, came to the OPD with the chief complaints of Shortness of breath and pedal edema since 4 days, low grade fever and dry cough since 2 days. History of presenting illness  - mm Patient was apparently asymptomatic 1month  ago, then he developed  1)shortness of breath which is incidious, grauallm progressive, NYHA grade 2, aggravated on exertion and relieved with rest. 2)Bilateral pitting type of pedal edema extending upto ankles,aggravated on walking,

A 35Y/M WITH c/o dry cough , SOB grade II, nausea and with h/o hemoptysis.

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April 8th, 2022 CBBLE UDHC SIMILAR CASES  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 patient's clinical problems with collective current best evidence based inputs. This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box. A 35 year male, driver by occupation, came with complaints of dry cough, grade II sob, nausea and with h/o hemoptysis. History of presenting illness:  A 35 year male with h/o dry cough, episode of hemoptysis, low grade fever, grade II sob (17/3/22),  was admitted at yashodha hospital on 17/3/22 and diagnosed as: - AKI on CKD - was dialysed 4times and advised for maintenance HD. - LRTI - B/L non homogeneous opacities on xray - edema with supe

80 y/f with complaints of shortness of breath and chest pain.

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March 26, 2022 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 patient's clinical problems with collective current best evidence based inputs. This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box. A 80 year old female came to casualty with complaints of shortness of breath and chest pain since 2pm (25/3/22) History of presenting illness :  Patient was apparently asymptomatic 3years ago then she developed giddiness for which she diagnosed as hypertensive and used medications (Amlodipine 5mg, atenolol 50mg). Pt has h/o fever on and off since 1yr which was relieved on medication. Pt had generalised weakness since 2 days associated with sob which is grade II, then

General medicine

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LEARNER REPORT "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 patient's clinical problems with collective current best evidence based inputs. This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comments box. 60Y/F WITH C/O RETENTION OF URINE : march 8th, 2022. 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 60yr old dailywage labourer came to casuality with complaints of rentention of urine since 4days HISTORY OF PRESE

GM ELOG CASE

By, JADHAV RAJKUMAR,      ROLL NO: 68. General medicine case discussion on a 42 year old women with multiple health events since birth. You can find the entire real patient clinical problem in this link here.. https://classworkdecjan.blogspot.com/2019/05/42-f-with-severe-regular-edema-with_17.html?m=1 DEMOGRAPHIC DETAILS: A 42year old female patient,came  with severe edema along with G6PD& AMPD1 deficiency. CHIEF COMPLAINTS. 1) Frequent falls to the left. Left foot started giving out as well as hand. one fall down stairs sprained and broke ankle (last year) X-ray below. Poor stress response. 2) Swelling/ hair loss (head and eyelashes) Fatigue. Left jaw pain up into face. 3) Breathing difficulties. 4)intolerance from most foods, smoke.   5)Always less urination which increase when fasting.  6)Sleep was bad with 2-4 hours. Drug history: 1) L-Serine 20 gm at night,  2)Ribose 2 gm every hour in water, if any major exercise or exertion. 3)400mg cimitidine 4)600mg NAC 5)Iron folate 500%