medicine 1st internal assesment

  




















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Medicine blended assignment.

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59/Y with asymmetrical oligoarithritis

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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 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.  Cheif complaints 59 Y came with cheif complaints of pains in finger joints, wrist joint, ankle joint for the past 22 years HOPI in 2000s ,he got swelling at 1st MTP with severe pain , swelling developed in a day  , joined in a hospital for 10 days but no diagnosis , then after the swelling subsided another leg got swelling .sometimes both at once usually aggravates after heavy dinner ( mutton ,fishes, tamarind, curd) could not sleep that day. involved all other limb...
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68/F with altered sensorium

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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 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.  Cheif complaints: Patient was brought to the casualty with the c/o altered sensorium since 2 days HOPI: Patient was apparently asymptomatic 2weeks back then she developed non bilious,non projectile vomitings 5 episodes food particles as a content associated with nausea treated with iv fluids at local hospital.loss of appetite,generalised weakness from 2days,altered sensorium worsened, intermittently gaining Orientation No h/o fever,loose stools No h/o constipation H/o ...
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