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GENERAL MEDICINE E LOG

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  INTRODUCTION: A 80yr old female, housewife by occupation came to casuality with  chief complaints of :  fever since 1 day. loose stools since 1 day. Vomitings since 1 day. HISTORY OF PRESENT ILLNESS: Patient was asymptomatic 1 day back then developed a high grade intermittent fever , associated with chills and rigors which decreased on using medication with no diurnal variation. Patient had loose stools;2 in number, vomitings,3 in number, non projectile, smelled like raw meat(as described by the attenders and patient) No h/o pain abdomen  no h/o cold and cough  no h/o burning micturition or decreased urinary output HISTORY OF PAST ILLNESS: Patient is a k/c/o Hypertension since 4 years and is on telmisartan 12.5mg patient is not a k/c/o of DM, asthma epilepsy, TB. PERSONAL HISTORY:   bowel and bladder movements: normal. appetite: normal. non alcoholic. non smoker.  Family history : No significant family history GENERAL EXAMINATION:  patient is co...
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General medicine final practical - LONG CASE (1601006098)

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General Medicine Long Case  Hall ticket no : 1601006098 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 A 45 year old male resident of Nalgonda labourer by occupation presented  with chief complaint of :  •   shortness of breath since 10 days   •   Cough since 10 days  •   Pedal edema since 10 days  History of presenting Illness:- Patient was apparently asymptomatic 10 days ago,then developed — •   Grade III  shortness of breath which was insidious in onset , nonprogressive,aggravated by walki...
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