2nd internal assessment





















 

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General medicine elog

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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’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 patient’s clinical problems with collective current best evidence based inputs. This E log book also reflects my patient-centered online portfolio and your valuable inputs on the comment box. A 51 year old male resident of Aliya came to our hospital for regular dialysis History of present illness  Patient was apparently asymptomatic 6 months back then he had 1 episode of seizure for which he was admitted in our hospital about 10days where he was incidentally diagnosed with hypertension.After 2 months he developed pedal oedema which increased on walking ,shortness of breath insidious in onset and gradually progressive ,grade 3 . History of orthopnea is present   History Paroxysm...
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  65 y old male came admitted in hospital  for regular dialysis. Chief complaints: Facial puffiness, pedal oedema,shortness of breath  History of presenting illness:- Patient was apparently asymptomatic 2 yrs back The he suddenly developed fever,generalised weakness for which he visited local hospital. After examination and investigations done  Patient was diagnosed with hypertension and renal failure and was referred to another hospital in Hyderabad. There he was treated with medications and patient was almost normal for an year and continued his daily activities. After 1 yr patient stopped his medication and started consuming alcohol and toddy. Then he developed symptoms of fever,severe facial oedema ,pedal oedema ,hypertension,shortness of breath,cough,oliguria,loss of appetite. Now he again revisited the hospital in Hyderabad after examination and investigations he was diagnosed with complete renal failure and suggested to get dialysis done . Patient came to nark...
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