PREFINAL EXAMINATION PAPER

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58 year old male with CKD

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This is an 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 clinical problems with collective current best evidence based inputs. CHIEF COMPLAINTS A 58 yr old male patient farmer by occupation came to opd with chief complaints of sob and pedal edema since 1week HOPI Patient was apparently asymptomatic 1month back then he developed  Decreased urine output since 1month sob which is of grade 4 and he also had pedal edema along with facial puffiness Since 1week  He is also having chest pain which is radiating to back since 1week No history of fever,cold and cough PAST HISTORY  Known case of hypertension since 3yrs He is also on MHD since 3yrs No history of DM, TB,Epilepsy, asthma, Thyroid abnormalities and CAD PERSONAL HISTORY  Appetite:no...
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31 year old male with acute pancreatitis

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CHIEF COMPLAINT: 31 yr old male patient ,farmer by occupation came to casuality with a chief complaint of abdominal pain since 5 days HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 10 yr back then started drinking alcohol with friends occasionally which then gradually turned into a habit. Since then patient used to consume 90-180mg/ 7 days a week for approximately for 6-7 yrs till 20 days back. 15 days back patient complained of Abdominal pain gradually Progressive, Aggrevated after food consumption.Having similar complaints of Episodes and abdominal pain for every 6months /1 year over the last 6 years.patient went to a local hospital where he was diagnosed with Chronic pancreatitis. HISTORY OF PAST ILLNESS: No history of HTN,DM,CAD,TB,epilepsy PERSONAL HISTORY: Appetite-normal Diet-mixed Bowel and bladder Movement-Regular No allergies  Alcoholic regularly GENERAL EXAMINATION: patient is Conscious,coherent and cooperative  -No pallor -No icterus -No lymphadeno...
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A 14 YEAR OLD MALE WITH ATT INDUCED HEPATITIS

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This is an online e-log book to discuss our patient's de-identified health data shared after taking his/her/guardian's 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 input. CHEIF COMPLIAN: Patient complaints of fever since 5 days and vomitings since 3days ( 5-6episodes). HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 1 month  back then he developed fever, which is high grade fever, not relieved on taking medication. H/O 5-6 episodes of vomiting , which is bilious, non projectile History of night sweatings K/c/o gangrene on finger tips No history of loss of appetite No history of short ness of breath  PAST HISTORY: Not a known case of, hypertension, diabetes, epilepsy, asthma. K/c/o of tuberculosis since 15days K/ c/o SLE since 2months. H/O injury to index finger...
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