Internal assessment .
















 




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A 50Y/M with b/l pedal edema and abdominal distension

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A 50 YEAR OLD MALE TRACTOR DRIVER BY OCCUPATION PRESENTED WITH CHIEF COMPLAINTS: Bilateral pedal edema since 3 months . Abdominal distension since 15 days . Itchy lesions on left hand and around head since 6 years. HOPI: Patient was apparently asymptomatic 3 months ago then he developed bilateral pedal edema insidious in onset & gradually progressive in nature, pitting type and extending upto knee joint.Then patient developed abdominal distension since 15days insidious in onset and gradually progressive in nature , no history of shortness of breath,chest pain,vomitings,hematemesis,dark colored stools,pain abdomen. No history of fever , cough , burning micturation, decreased urine output. H/O itchy lesion with hyperpigmented lesion on left hand and around head since 6 years (on & off).H/o exposure to occupational work with chemicals. PAST HISTORY: K/C/O HTN since 3 years on T.Telvas-H 40/12.5 PO/OD . Stopped medication 6 months ago. Not k/c/o DM/CVD/EPILEPSY/TB/ASTHMA. PERSONAL ...
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A 22yr old primigravida...

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CASE REPORT :: A 22 year old primigravida with gestational age of 10 weeks who is housewife who is a resident of munugodu was brought with  CHIEF COMPLAINTS : Muscle spasms involving both upper ,  lower limb and neck since yesterday evening.  PAST HISTORY :: Not a known case of DM, HTN, Tuberculosis , asthma. No history of blood transfusion and major surgeries. PERSONAL HISTORY : Appetite :normal Diet : mixed  Sleep : adequate  Bowel and bladder : regular  No addictions. No known drug and food allergies. FAMILY HISTORY : No history of epilepsy in the family. GENERAL EXAMINATION : Patient is conscious coherent cooperative and well oriented to time place and person. Consent of the patient and attenders was taken and examined in a well lighted room. Patient is moderately built and nourished.  Pallor -  Present   Icterus - absent  Cyanosis - absent  Clubbing - absent Lymphadenopathy - absent Edema - absent VITALS  : Temperature : a...
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65 year old female with Shortness of Breath, Bilateral Pedal Edema

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This is a 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 patients problems through series of inputs from available global community of experts with an aim to solve those patients 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 in comment box is welcome. 60 year old female house wife, resident of chouttuppal came to casualty with chief complaints of breathlessness since 3 days, pedal edema since 1 month. Patient was apparently asymptomatic 20 years back , then she developed DM, hypothyroidism and was on regular medication since then.Pt has H/O SOB on and off since 6 months which was initially of grade 2 then progressed to grade 4 since then for which she visited cardiologist in our hospital and is on Aspirin , Atorvas, Clopidogrel since then .Patient ...
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