prefinals paper 1

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A 53 year old came to casuality with C/o pedal edema since 2 months. C/O SOB Since 1 day. C/O decreased urine output since 2 months.

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A 53 year old male came to casualty with chief  C/o pedal edema since 2 months C/O SOB Since 1 day C/O  decreased urine output since 2 months. History of presenting illness:- Patient was apparently alright 1 year back then  he developed  decreased urine output for which he went to hospital and  was diagnosed as chronic kidney disease and was on Conservative management.  Patient  developed decreased urine output since 2 months. No  Hesitancy, dribbling of urine. -History of pedal edema Since 2 months, pitting type upto knee. -History of SOB since 1 day; Grade -IV according to MMRC  , Orthopnea present, no   PND. No chest pain, no palpitations.  3. HISTORY OF PAST ILLNESS K/c/o Dm-ll Since 7 years on insulin K/c/o HTN Snce 1 year on CILNIDIPINE 10mg. No history of asthma ,tuberculosis ,epilepsy  Personal history:  Diet mixed  Appetite normal  Sleep Adequate Bowel are regular Bladder movements decreased output ...
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A 32 yr old male came with the complaints of fever since 1 week

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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 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. A 32 yr old male came with the complaints of fever since 1 week  HOPI  Patient was apparently asymptomatic 1 week back and then developed fever which was sudden in onset gradually progressive high grade associated with ...
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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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