prefinal assessment

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36 year old male with uncontrolled sugar,left lower rib fracture , ulcer in left toe

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This is an online E log book to discuss Our patients de-identified health data shared after taking his/her/guardian 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 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  A 36 year old male was admitted i/v/o left lower rib pain , uncontrolled sugar , Ulcer in left  toe  History of presenting illness  Patient was apparently asymptomatic 7 years ago .when he had an episode of giddiness and fallen he went to an hospital . Where he was diagnosed with diabetes mellitus .He started with OHAs he used to get his regular checkup done and FBS and PLBS were under control with metformin. He later shifted to GLIMI M1 and GLIMI MV2 2-3 months back .  3 years ago patient started consumi
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60 year old female with epidermoid cyst

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This is an onlin E log book to discuss our patients de-identified health data shared after taking his/her/guardian 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 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 comments .   A 60 year old female came with the chief complaint of mass over perianal region since 6 months History of present illness  Patient was apparently asymptomatic 6 months back then she developed the small swelling of size 1×2 cm of insidious onset and slowly proffused to present size of 3×3 cm not associated with pain fever and vomiting constipation burning sensation  History of past illness No history of similar complaints either pain  No know history of hypertension , DM , asthma , epilepsy , CAD , CVA
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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 not associated with
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