Bds 2k19 General medicine prefinal examination

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A 58 YR OLD MALE PATIENT WITH CKD

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This is an online e-log platform to discuss case scenario of a patient with their guardians permission.  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. CHEIF COMPLAINT: Patient came to OPD 7 days ago with chief complaint of    Shortness of breath since 7 days    Cold & cough since 6 days HISTORY OF PRESENT ILLNESS:  - Patient was apparently asymptomatic 1 yr back, then he developed Shortness of breath, cough, pedal edema, decreased urine output, distended abdomen - He was taken to hospital and diagnosed to have renal failure and heart failure  - He was suggested dialysis but refused and was on conservative management - SOB grade III relieved on sitting position ,increases while lying  - orthopnea,chest pain, palpita...
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A 46 YR OLD MALE PATIENT WITH FEVER AND PEDAL EDEMA

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This is an online e-log platform to discuss case scenario of a patient with their guardians permission.  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 46 year old male who is resident of bhongir and by occupation a Barber came to OPD on 11th of January at 4:10 pm. CHIEF COMPLAINTS: Patient came to OPD 7 days ago With chief complaint of  Fever on and off episodes since 12 days Loss of appetite since 12 days Pedal edema since 7 days Shortness of breath since 7 days Jaundice since 7 days HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 12 days back then he complained of fever which is low grade, intermittent, on and off episodes get relieved on medication.  -Patient complained of B/L pedal edema present below the knees, pitting t...
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50 Yr Male with Uncontrolled Sugars

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This  is 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 patients clinical problems with collective current best evidence based inputs.This e-log also reflects patients centered learning portfolio. Case in brief A 50yr old male ,farmer by occupation came to opd ,for deaddiction  Chief complaints • Generalized weakness since 15days  • Polydipsia • Polyuria  History of present illness • Patient was apparently asymptomatic 1yr back then he was diagnosed to have diabetes at a government camp. • So then he was given oral antigycemic drugs ,he used it for 2months and stopped it. • So, he developed generalized weakness, polydipsia, polyuria. • Then he visited a private hospital at nakrekal,then was found to have high sugar levels ,since then...
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