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43 yr old male with complaints of abdominal distension and SOB since 15 days

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This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. I have been given this case to solve in an attempt to understand the topic of " patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with diagnosis and treatment plan. Case Pt is a 43 yr old male with  chief complaints of abdominal distension and sob since 15 days. HOPI Pt was apparently asymptomatic 15  days  ago then he developed  abdominal bloating ,no regurgitati...
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55 yr old female with yellowish discoloration of eyes.

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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 55 year old female from narketpally  came with chief complaints of • Sweating ,generalised weakness, dizziness since 18/7/2022  • Fever, yellowish discoloration of urine and eyes since 20 days HISTORY OF PRESENT ILLNESS Patient was apparently asymptomatic 20 days back , then she developed fever  which is intermittent (4 or 5 times since 20 days) and evening rise of temperature was noticed for which she took paracetamol and it subsided .  Fever was not associated with chills and rigors. She also had yellowish discoloration of eyes and urine since 20 days . She also complains of burning micturi...
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56 male with c/o bilateral pedal edema

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Patient with  c/o  bilateral pedal edema  since 1 month , C/o fever and burning micturition since 20 days  HOPI Pt was apparently asymptomatic 1 month ago back and then had complaints of b/l pedal edema pitting type followed by complaints of fewer low grade intermittent associated with burning micturition since 20 days  No c/o loin pain ,hematuria, decreased urine output  H/o NSAID  abuse since 20 days  K/c/o CKD 3 yrs H/o  CVS 6 YRS AGO N/k/c/o DM ,TB, EPILEPSY ,HTN ,CAD  General examination No pallor,icterus,cynosis,clubbing, lymphadenopathy. B/l ,pedal edema pitting type  Vitals BP  110/60 mm hg PR 88 bpm RR 25 cpm  Temp 100.6 °F Systemic examination RS-B/L air entry present         NVBS CVS- S1s2present, no murmurs heard PA- soft and non tender. CNS - no focal neurological deficits  Diagnosis CKD on MHD Septic shock Investigation 22/5/23 blood group O positive Anti ...
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