Prefinal Exam Paper 2

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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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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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30YR MALE WITH HYPOKALEMIA AND TB

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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 Case- 30 year old male came to casualty with c/o involuntary movements of hands and tingling and numbness in upper limbs and abdomen since yesterday morning  HOPI: Patient was apparently asymptomatic 20 days back then he developed fever insidious in onset, gradually progressive, low grade , intermittent not associated with chills and rigors and relieved by medication. He has a history of 4-5 episodes of vomitings 5 days back. Watery, non bilious ,non projectile, with food particles as contents. Relieved by medication (unknown) No c/o pain abdomen, loose stools   c/o burning micturition 2 days back, relieved no...
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