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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45 yr old female with hydroureteronephrosis & uretro canalculii

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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. 45 year old female patient came to OPD with c/o reduced urine output since 1 week,easy fatigabiility from 1 week and sob since 3 days and facial puffiness since 1 week.  DAILY ROUTINE : She is a daily wage labourer and she stopped working 3 years back because she would easily get tired.  1 year back she experienced severe right loin pain along with reduced urine output and generalized anasarca.  She underwent right DJ stenting and also 3 sessions of hemodialysis She didn't undergo hemodialysis or wasn't on any treatment for 1 year due to the COVID pandemic.  1 week back, patient started experiencing reduced...
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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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