PREFINAL EXAMINATION PAPER

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A 65 year old female with ckd

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This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians 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 problem with collective current best evident based input. This E blog also reflects my patient centered online learning portfolio.  Chief Complaint :  A 60 years old female with chief complaints of - Decreased urine output since - 3 months -pedal edema since - 3months. Shortness of breath since - 3 months History of present illness: -  patient was apparently asymptomatic 1yr back then she noticed decreased urine output and was diagnosed with heart failure and renal failure and started on conservative management.  Then 3months back she noticed increased Bilateral pedal edema -pitting type, extending till ankles .  shortness of breath - grade 3(MMRC) ins...
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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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55 year old male with acute pancreatitis

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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 inputs CHIEF COMPLAINT: 58yr old male patient ,he's a cook by occupation came to casuality with a C/O pain in upper abdomen, with vomitings since yesterday morning. HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic upto yesterday  Later he developed pain in upper abdomen Which was sudden in onset Progressive and non radiating and not relieved on medication. H/O Vomiting since today mrng 5-6 episodes,water as content,non projective ,non bilious No H/O fever, constipation, loose stools Patient started drinking alcohol 15yrs back ,he consumes 90ml daily at night.  HISTORY OF PAST ILLNESS: N/K/C/O HTN,...
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