GENERAL MEDICINE 14/7/2023 INTERNAL

Gen Med 2 nd internal 14/07

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48 F SOB 7 days & Pedal oedema 5 days

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Im presenting a case of 48 year Female House wife ,  resident of Narketpally  came to opd with  CHIEF COMPLAINTS  Shortness of breath 7 days  Pedal oedema 5 days  HISTORY OF PRESENT ILLNESS  Patient was apparently asymptomatic 1 week ago then she developed shortness of breath which was sudden onset Grade 3 and progressed to Grade 4 ( NYHA CLASS 4 )  Patient also complaining of pedal oedema B/L pitting type , which is extending upto ankle. Grade 3  Patient also complaining of cough ,insidous onset  non productive , not associated with sputum , no diurnal variation . H/o Orthopnea  No H/o PND  N/o H/o Chest pain , palpitations  History of past illness 4 years ago  Patient had admitted with  the similar complaints of pedal oedema & noticed deranged renal  parameters & diagnosed CKD  for which they treated symptomatically with medications  2 years ago  Pedal oedema & treated symtomatic...
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PREFINAL PRACTICAL EXAM

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40 YEAR MALE WITH PAIN AND DISTENSION OF ABDOMEN , DECREASED URINE OUTPUT SINCE 2 DAYS  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 • A 40 year old male pt , farmer by occupation resident of Nalgonda came with  Chief complaints  Pain abdomen 2 da...
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45Y / F with Neck pain & Fever

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Im presenting a case of 45 year old female , House wife , resident of Bhongir came to the opd with  Chief complaints   Neck pain since 10 days   Fever since 10 days  History of present illness   Patient was apparently assymptomatic 10 days ago then she developed pain in the left side of neck during ( flexion & extention ). which was sudden in onset , continuos , which is radiating from occipital region to the shoulders , aggrevated on work and relieved temporarily on medication ( Oils )  Patient also complaining of fever high grade , continuous , assosiated with generalized weakness, fatigue , myalgia & headache  , aggrevating as day proggresses and temporarily on taking medication , Fever is not associated with chills or rigors .  H/o Palpitations  No H/o Trauma   No H/o Nausea vomiting  No H/o spine tenderness  No H/o Diplopia No H/o photophobia  No H/o Persisitant headache  No H/o Red ra...
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