1st internal assessment

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vignesh

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  GENERAL MEDICINE CASE PRESENTATION Vignesh Roll no:- 05 3rd semester  This is 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 patients clinical problems with collective current best evidence based inputs.This e-log also reflects patients centered learning portfolio. ●Case scenario  A 49 yr old female patient came to opd with the chief complaints of Shortness of breath(SOB) -grade IV and worsening  History of present illness •SOB -5 to 6 months On exertion •Pedal edema and facial puffiness since 5 to 6 months •Red urine output •Fever -10 days -subside on medication-intermittent and low grade •cough with sputum since 10 days History of past illness •k/c/o Hypertension-1 yr Treatment History  Hypertension Treatment since 1 yr •Tem...
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70 yr old male

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 Date of admission-12/09/23 Case scenario  A 70 yr old male resident of yadadri came to opd with  Chief complaints of -c/o burning micturition 15 days -c/o fever since 10 days -c/o blood in urine since a week -c/o urinary incontinence 1 week History of present illness Patient was apparently asymptomatic 15 days ago then he had burning micturition which is insidious in onset following he had fever which is associated with chills and rigor since 10 days which is relieved on medication  Pt complaints of blood in urine and urinary incontinence since 1 week Past history: *Details of patient's past history*  Pt was apparently symptomatic till 2014 then he developed blood in urine and urinary incontinence for which he visited hospital on 1st Feb 2014 following visit   *Ultrsonograpy of abdomen and pelvis done*  IMPRESSION; •diffuse urinary bladder wall thickening Significant right parailiac nodes  *CYSTOSCOPY EXM:* bladder growth specimen is collect...
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CKD CASE

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CASE SCENARIO  Patient aged 62 yrs,toddy Tree climber by occupation came to opd with complaints Of loss of appetite and nausea since one week, Decreased urine output since 5 days And SOB on exertion and B/L limb swelling since a week HISTORY OF PRESENT ILLNESS Since a week pt has loss of appetite and nausea  SOB on exertion and B/L limb swelling since a week Decreased urine output since 5 days HISTORY OF PAST ILLNESS Pt was apparently normal 4 yrs back then he developed weakness and pain of bilateral limbs and on medication with pain killers on which the pain was not subsided then xray of spine was done and pt was diagnosed with Decreased bone density (OSTEOPOROSIS) Pt diagnosed with HYPERTENSION and on hypertensives Not a k/c/o of DM,CAD TREATMENT HISTORY  Pt was on hypertensives and had a tablet daily once PERSONAL HISTORY Irregular bowel habit Decreased urine output Mixed diet  Occasional alcohol drinker Had smoking habit PHYSICAL EXAMINATION  Patient is cons...
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