medicine 1st internal assesment

  




















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Medicine blended assignment.

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A 42 year old male patient with HFrEF

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This is 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 an 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 in the comment box is welcome!  CHEIF COMPLAINTS  42 yr old male electrician, came to casualty with cheif complaint of  1. SOB grade 4 , progressed from grade 3 since 4-5days  2.abdominal distension since 4-5 days 3. Bilateral pedal edema upto ankle since 4-5 days . 1yr back diagnosed as TB , used medication for 4days and stopped. PRESENT ILLNESS Patient was apparently asymptomatic till July 21 when he was admitted here in Kims ,nkp, with symptoms of SOB , pedal edema ,  diagnosed as HFrEF ...
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57 Y/M came to casuality with complaints of gemeralized weakness for 1 month, fever for 1 week and altered semsorium for for 3 days

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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 57 Y/M came to casuality with complaints of gemeralized weakness for 1 month, fever for 1 week and altered semsorium for for 3 days Patient was apparently alright for the past 1 month since then he has been complaining of generalised weakness. Since 15 days he has been feeling cold even in hot weather and has been switching off all the fans in the house.  He has been suffering with constipation since 10 days. Has not passed stools at all(confirmed b...
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