80 yr old male with altered sensorium

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chronic kidney disease

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52 year old female patient came with chief complaints of pedal edema since 1 month and nausea and vomiting since 10 days.  HISTORY OF PAST ILLNESS patient was apparently asymptomatic six months back and then on routine checkup she was found to have kidney problem .  -from one month she developed pedal edema and gradually progressing which is of bilateral pitting type extending upto knees.  -vomiting from 10 days associated with nausea and decreased appetite HISTORY OF PAST ILLNESS  no history of SOB k/c/o type 2 Diabetes mellitus since 10 years. TREATMENT HISTORY have taken treatment for diabetes from 10 years PERSONAL HISTORY • She is unmarried.  • She has decreased appetite.  • Has regular bowels • Has normal micturition.  • No known allergies and addictions FAMILY HISTORY -not significant.  ON EXAMINATION :  -Patient is conscious, coherent, cooperative. - pallor , Icterus,clubbing, cyanosis lymphadenopathy are absent.  -malnutrition...
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40 YEAR OLD MALE WITH YELLOWISH DISCOLORATION OF SCLERA

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April 09, 2022 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 40 year old male who is a coconut vender came to casualty with c/o : • constipation since 10 days • Yellowish discoloration of sclera and urine from 3 days. • cough(dry cough) since 2 days. • t...
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65 year old male patient with involuntary movements and focal seizures

Final exam long case January 19,2023 65 year old male patient with Involuntary movements and focal seizures  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" Date of Admission- 19/01/2023 A _65_ year old male patient presented brought to casuality by his attenders with chief complaints of Involuntary movements of left upper limb and lower limb (4:00 pm)                        HISTORY OF PRESENT ILLNESS Patient was apparently asymptomatic till  1:00 pm. Then he had fever episode which ...
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