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Showing posts from January, 2023

general medicine final practical exam-short case

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65Y/M PATIENT WITH COMPLAINT OF SOB AND DISTENSION OF ABDOMIN AND PEDAL EDEMA This is an online e-log platform to discuss case scenario of a patient with their guardians permission.  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 a diagnosis and treatment plan.  CHIEF COMPLAINT: A 65 years old male patient ,resident of suryapet ,mason by occupation,came to the casualty with chief complaint of shortness of breath since 5 days Distension of abdomen and pedal edema since 1 week. HISTORY OF PRESENT ILLNESS: ->patient was apparently asymptomatic 1year back then she has  shortness of breath, pedal edema, distension of abdomen.She went to a local hospital and was diagnosed with renal failure and heart failure. 7 months back  patient had similar episodes and had Hb of 6 approx and 20 prbc and t

General medicine final practical exam-long case

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A 67 year old female with shortness of breadth I've 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 a diagnosis and treatment plan. Chief Complaint :- A 67 years old female came to OPD with chief complaints of -pedal edema since - 3months. -Shortness of breath since - 3 months - Decreased urine output since 3 months.  • History of present illness: Patient was apparently asymptomatic 1yr back then she noticed decreased  urine output.She went to a local hospital and was diagnosed as renal failure and heart failure and was on treatment. Then 3months back she noticed increased Bilateral pedal edema -pitting type, extending till ankles .  shortness of breath  Patient visited a local hospital where she has undergone 2 dialysis. Then 10 days back she visited our hospital where she has un