prefinal examination 2022

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LONG CASE

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65 Y/F WITH COMPLAINT OF ABDOMINAL PAIN  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-centered online learning portfolio and your valuable inputs on the comment box. 19 th January 2023 Date of admission: 12/01/23 CHIEF COMPLAINT: 65 years old female patient resident of Nalgonda,labourer by occupation presented to casualty with chief complaints of: Abdominal pain since 2 days  Associated with nausea and vomiting since 1 day HISTORY OF PRESENT ILLNESS: -Patient was apparently asymptomatic 2 years back then she developed pedal edema, facial puffiness, distension of abdomen,  decreased urine output, short...
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30Y/M with epigastric pain and bloody Vomitings

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February 27 , 2022 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 COMPLIANT : 30Y/M and tractor driver by occupation came to OPD with C/O epigastric pain and Bloody vomitings since 2 days HISTORY OF PRESENT ILLNESS :  ▪️Patient was apparently asymptomatic 5-6  years back.Initially he was an occasional alcoholic but due to family disputes patient started drinking excessively around 90-180ml of alcohol daily. ▪️One day he developed pain abdomen associated with Bloody vomitings then he got admitted in outside hospital and told to stop alcohol completely. ▪️2 such admissions in 5-6 years. ▪️2 months back he again had abdominal pain and Bloody vomitin...
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A 30Y/F with abdomen pain since 3months

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 March 08, 2022  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.  CHEIF COMPLAINT: 30Y/F and day worker by occupation came to OPD with C/O pain in abdomen since 3 months with no history of Vomitings,nausea and fever HOPI: Patient was apparently asymptomatic 3 months back. Then one day she developed intermittent pain in right hypochondrium. She went to a local hospital, symptoms did not subside and then came to our casuality where she was diagnosed with cholelithiasis And there is no history of Vomitings and nausea. Normal routine of the patient: She used to get up at 6 in the morning, used to have a cup of tea and did some household work, then at 8 she us...
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