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final exam long case

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This is an online elog book to discuss our patients de-identified health data shared after taking his/her/guardians signed informed consent.Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs.This elog book reflect s my patients centered online portfolio and your valuable inputs on the comments is welcome.    Chief complaint -  A 54 yrs old male patient of resident suryapet, shop keeper by occupation came to opd with chief complaint of pedal edema from 1 month and fever from 4 days.  History of present illness- Patient was apparantly asymptomatic 6months months back and then he developed  fever   associated with chills , rigor and vomitings. He was admitted in local hospital and was found to have raised creatinine levels and diagnosed as renal failure. He was under observation for 10days and treated . He was on
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final exam short case

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This is an online elog book to discuss our patients de-identified health data shared after taking his/her/guardians signed informed consent.Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs.This elog book reflect s my patients centered online portfolio and your valuable inputs on the comments is welcome.    Chief complaint  A 65year old male patient of resident  farmer by occupation came to opd with a complaint of Cough with Expectoration and right knee pain from 1 year , lower back ache, neck pain, and burning sensation of feet from 6 months.  History of present illness  Patient was apparently Assymtomatic since 1year then he developed cough with Expectoration (thick, whitish, non blood tinged, odour less sputum).  No History of fever, cold, shortness of breath, chestpain.  History of lower back ache radiati
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49yr old male

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A 49 YEAR OLD MALE PATIENT CAME WITH SEVERE VOMITINGS AND HIGH BLOOD SUGARS. CASE SHEET: Chief complaints: A 47 year old male, driver by occupation, came to causality with chief complaints of: - vomitings since 2:00 a.m.- 8-10 episodes    (18-07-2022) HISTORY OF PRESENT ILLNESS: The patient was apparently asymptomatic 10 years back. Then he had fever, generalised weakness for which he got checked with the local practitioner and was diagnosed with type II Diabetes Mellitus and started with OHA (oral hypoglycemic agents). A year later, he developed headacheheadache and was diagnosed with hypertension for which he used medication for an year and stopped them. 6 years back, the patient developed weakness of limbs (lower limbs weakness than that of your limbs) for which he got diagnosed with low potassium levels and treatment was given conservatively. 15 days back, the patient had symptoms of headache with blackouts. He also developed vomitings 3 to 4 episodes for which he went to a local h
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49 yrs old female with abdominal distension and pedal edema

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A 49 YEAR OLD MALE CAME WITH ABDOMINAL DISTENSION AND PEDAL EDEMA.CASE SHEET: Chief complaints: A 49 year old male, driver by occupation came to causality with chief complaints of: - Abdominal distention since 10 days - pedal edema since 10 days HISTORY OF PRESENT ILLNESS: The patient was apparently asymptomatic 20 years back. At age of 10, he developed seizures, which subsided itself without any medication. 10 years back, patient has scaly lesions on hands and legs for which he was diagnosed as psoriasis. Since then he was on regular medication. A year back, the patient has yellowish discoloration of sclera for which he used herbal medicine for 6 days. Again after 3 months, he had similar case of yellowish discoloration of sclera for which he used herbal medicine for 7 days. He had yellowish discoloration for 20 days and distention of abdomen for 10 days and pedal edema for 10 days. ASSOCIATED DISEASES: No significant diseases. PAST HISTORY: The patient was a known case of psoriasis 2
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a 45 yrs old male patient

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 A patient who is 45 yr old male came to OPD with chief complaints of fever since 2 days and slurring of speech since 1 day and pain in both lowerlimbs . HISTORY OF PRESENT ILLNESS     Patient is a daily wage worker by occupation . Patient was apparently asymptomatic 2 years back then his appetite increased( about 5- 6 times a day ) for which he came to KIMS hospital and diagnosed with Diabetes.He used oral hypoglycemic drugs for first 6 months.Then from past 1.5 years he is on insulin.He was a chronic alcoholic since 25 yrs. He consumes more than 180ml / day . Urine output increased since 2 years about 10 times a day.Decreased weight about 25kg since 2 years. Then since 2 days he developed fever which was high grade, continuous and associated with chills and rigor and also presence of neck stiffness and burning Micturition.Patient was also anemic for which he received blood transfusion   He developed slurring of speech since 1 day then he came to hospital the next day HISTORY OF PA
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