prefinal assessment

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60 year old patient came to hospital with pain in abdomen

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This is an online e log book to discuss our de identified health data shared after taking his /her guardian signature on 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 problems with collective current best evidence based inputs. This e log book also reflects my patient - centered online learning portfolio and your valuable inputs on the comment box.  Chief complaint - pain in abdomen since 1 day  History of present illness  Patient was apparently asymptomatic 15 years back and then he developed left side pain ( renal caliculi) percutaneous nephrolithonomy surgery was done 4 months back patient developed yellowish discoloration of eyes and pain abdomen for which he admitted in hospital and managed conservatively.  Now since one day patient complains of pain in abdomen in right hypochondrium region, non radiating, insidious onset n...
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case history

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 50 year old female came to the hospital with chief complaint of dengue NS1 antigen positive Past illness No history of surgery , asthma, TB ,CAD, epilepsy , Diabetes mellitus  Present illness No cold, cough , Shortness of breath  No B/I Pedal edema , no headache , no giddiness Personal history  Normal appetite  Bowel movement - normal  Bladder movement - normal  No addictions  Sleep - adequate  Family history  No diabetes , Hypertension, heart disease , stroke , cancer , TB , asthma  General examination  Patient is conscious , Coherent , Co- operative  There are no signs of icterus , clubbing , pallor , cyanosis , Lymphadenopathy  Vitals  Temperature - 98.8 C/F  Pulse rate - 80bpm  Respiratory rate - 18/min  Bp - 110/70 Spo2 - 96  Systemic examination  CVS  No thrills  Cardiac sounds - S1 ,S2  heard  Respiratory system  Position of trachea - Central  Breath ...
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Final exam long case 1902102072

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69 year old male patient with breathlessness and cough with sputum  This is an online e log book to discuss our patient deidentified health data shared after taking his / her or gaurdian signature on 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 problems with collective current besevidence based inputs. This e log book also reflects my patient - centered online learning portfolio and your valuable inputs on the comment box.  Cheif complaint  Patient complains of breathlessness since 4days  and cough since 3days.  History of present illness  Patient was apparently asymptomatic 5 years back Patient complains of similar history in past.  Admission to  Hospital twice in 2018 and 2021 and diagnosed as acute exacerbation of asthma with bronchiectasis.  Pneumococcal vaccine taken on 19-10-21  Influenza vac...
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