Internal assessment 2 answer sheets

 



































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57 year old male came to opd with generalised edema, decreased urine output from past one month, chest pain from 4days.

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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 inputs. A 57 yr old male patient resident of gopalayapalli came to opd with chief complaints of generalised edema and decreased urine output since one month, chest pain since 4 days. HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic one month back later he developed swelling of face followed by abdomen and limbs which is pitting type since one month.  He had decreased urine output since one month.Intially there was dribbling of urine later there was complete stoppage of urine. He had chest pain since 4 days which was sudden in onset, dragging type,radiating towards back,and aggravated at night. H/o fever ass...
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24yr old male came to opd with vomiting, sob and blood in urine

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This is an a 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 The patient/attender was informed the purpose of the information being acquired. An informed consent was taken from patient/ attender and there is omission of information that was requested to be omitted.  CON...
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72Y Male with SOB and fever since 7 days

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Patient came with C/o fever since 2 days  C/o breathlessness since yesterday HOPI :- patient was apparently asymptomatic 2 days back then he developed fever which is insidious in onset ,gradually progressive, continuous low grade with chills and rigors relieved with medication. Breathlessness since yesterday insidious in onset gradually progressive present even at rest , NYHA GRADE IV ,not relieved with rest , associated with cough with expectoration which is white in colour. No h/o pedal edema , abdominal distension. H/o decreased urine output and burning micturition. Past history:- Not a k/c/o DM,HTN,BRONCHIAL ASTHMA , THYROID AND SEIZURE DISORDERS K/c/o TB 8 years back used medication. General examination:- pt is C/C/C. Pallor + , no cyanosis, icterus, clubbing, lymphadenopathy, edema. Temp - 100.8F  Bp - 100/60mmhg Pr- 104 bpm Spo2 - 75 at RA at admission  Addictions :- alcoholic and tobacco chewer since 40 years. Systemic examination:- CVS - S1S2 heared, No murmurs. ...
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