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75 YR OLD FEMALE WITH SOB AND PEDAL EDEMA

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 75YR OLD FEMALE WITH SOB AND PEDAL EDEMA This is a case of 75 yr old female with complaints of SOB , facial edema and pedal edema  since 10 days HOPI : patient was apparently asymptomatic 3 years back then she developed lethargy for which she went to hospital and an ecg was done . She was diagnosed with CAD and hypertension for which she is kept on medication (CCB clinidipine) 10 days back she developed pedal edema ; facial edema and  SOB   pedal edema was gradually progressive in nature and sob progressed from grade 3 to grade 4 past history :  k/c/o HTN   no h/o DM, epilepsy, thyroid abnormalities,TB,asthma  personal history Daily routine the patient is a handloom worker by occupation.she wakes up at 5:30 and completes her daily morning activities she then does her household chores. Depending on the amount of work she does her work and has her lunch by 11am and continues to do the same for rest of the day. then by 8pm she has her dinner and ...

56 YEAR OLD MALE WITH ABDOMINAL PAIN AND OLIGURIA

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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 patient's clinical problems with collective current best evidence based inputs. This E log book also reflects my patient-centred online learning portfolio and your valuable inputs on the comment box is welcome. A 56 year old male agricultural labourer by occupation, resident of Muthagudem came to OPD on 13/01/22 with the chief complaints of-  Pain abdomen since 20 days   Vomitings since 20 days  Fever since 15 days  Decreased urine output since 15 days Patient was apparently asymptomatic 3 years ago and then he developed  B/l loin pain which was sudden in onset gradually progressive and associated with high grade fever. 1 year ago he developed pedal edema upt...

A Case of 64yrs old male patient with obstructive jaundice

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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 and your valuable inputs on the comment box is welcome. I have been given this case to solve in an attempt to understand the topic of " patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with diagnosis and treatment plan.  A 64 year old man resident of bengal, is a farmer by occupation came with the complaints of yellowish discolortion of eyes  since 1 month. HISTORY OF PRESENT ILLNESS History of low grade fever, intermitte...