Prefinal Exam Paper 1








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55 yr old with sluring of speech

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A 60yr(M) chronic Alcoholic with Abdominal Distension

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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 Complaints- A 60yr old male came with complaints of           -abdominal distension                 -decreased urine output           since 4 months -Swelling of B/L lower limbs  HOPI - Patient was aparently asymptomatic 4 months back.He then developed abdominal distension which was insiduous in onset , gradually progressive associated with pain abdomen- squeezing type in umbilical region , aggravted on taking food  with no releiving factors . H//O decreased urine output since 4 months  H/O EDEMA  in B...
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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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