internal assessment 2

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CKD on mhd

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This is online E-blog, to discuss our patient de-identified health data shared after taking her guardian's signed informed consent. Here  we discuss our individual patient problems through series of inputs from available global online community of experts with an aim to solve the patients clinical problem with current best evidence based input. T his E-blog also reflects my patient's centred online learning portfolio. 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 a diagnosis and treatment plan.   A 32 year old male patient came to the OPD with chief complaints of decreased urine output, bilateral pedal edema, and shortness of breath. HOPI: patient was apparently asymptomatic 1year back then he developed loss of consciousness for which he went to the local hospital, the...
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70 year old male with facial puffiness and lower limb swelling.

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This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment A 70 yr old male patient toddy climber by occupation and resident of Nalgonda presented to opd with chief complaints of  Swelling in both legs since 15-20 days Facial puffiness since 15-20 days. HISTORY OF PRESENTING ILLNESS- Patient was apparently asymptomatic 3 yrs back. Then he complained of generalized weakness while doing his work which apprently made him discontinue his work.  From past 1 yr he is having constipation 1 episode every 3 -4 days which is occasinally associated with blood which was in minimal quantity. So he visited local doctor with chief complaint of constipation (and he didn't tell about loss of blood in stools back then) . For which the local doctor gave him some medication for constipation which was then temporarily relieved he would have urgency to defecate but would only pass flatus.  There is a history of cough since 4-5 months ass...
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70 year old male with  1)fever since 15 days 2)generalised weakness and body pains  in bilateral lower limbs since 10  days HOPI Pt was apparently asymptomatic 15 days back then had fever which high grade more during night time associated with chills and rigors it is intermittent not associated with cold , cough, vomitings , loose motions, abdominal pain, burning micturition , no h/o rash, hematuria, bleeding from gums For which he was taken to local rmp and  got treated for the same and diagnosed typhoid fever and reports from outside showing platelets of 85,000 Then he had generalised body weakness and  pains in bilateral lower limbs and lower back ache since 3days. Pt is unable to walk or stand without support since 3 days DAILY ROUTINE He wakes up at morning 6 does his daily routine and takes rice at 8:00-9:00am goes to work ( farmer)  and takes food at 1:00pm returns home at 5:00 pm and takes dinner at 8:00pm qnd goes to sleep PAST HISTORY   not a...
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