Prefinal Exam Paper 1








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A 36yr old Female with Fever and SOB

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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.  18/08/2022 Blog by Aruna.J Roll no 61. A 36 year old female who is a resident of Narketpalli housewife by occupation came with chief complaints of  1. Fever since 7 days  2. SOB since 4 days  HOPI -  Patient was apparently asymptomatic 7 days back then she developed fever on 9th of August which was intermittent in nature, associated with headache, chills and rigors . Also she has complaints of pins and needle like sensation on the left side of her body . ( went through mastectomy of left breast)  Then since Friday she has SOB after having any meal.  ( grade 3 )  And had 4 episodes of vomiting which had food contents , non projectile, non bilious.  PAST HISTORY-  No history of Diabetes , Hypertension, thyroid abnormality, epilepsy, CAD , TB  FAMILY HISTORY- fathers sister has blood cancer ....
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55 yr old with sluring of speech

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1801006059- Long Case 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 solveb 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 is welcome. CASE-  A 55 year old male with chief complaints of - deviation of mouth to left side since 2 days and  - slurring of speech since 2 days History of presenting illness: Patient was apparently asymptomatic 2 days ago. He then developed slurring of speech which was sudden in onset . He also developed B/L blurring of vision which was sudden in onset and which lasted for an hour . On the same day his wife noticed deviation of mouth to left side and was t...
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77yr old Male with SOB

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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 A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS WITH AN AIM TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT . Rollno.61 Aruna.J A 77 yr old male fruit vendor by occupation came with  Chief Complaints of  SOB and since 1 week . He was apparently asymptomatic 2years back. He went to the hospital with complaints of B/L knee pain diagnosed as Osteoarthritis  along with Hypertension. He was started on medication for Hypertension which he used only occasionally  (Medication unknown). Since 2 months he started developing shortness of breath which was insiduous in onset , gradually progressed as it  appeared on doing any minor physical activity  and progressed to SOB on walking for small distance ( Grade ...
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