Prefinal paper 2

 Name:E.Laharika 

Roll no : 29



















































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Medicine assignment

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Medicine assignment for the month of May 2021 Name: E.Laharika  Roll no: 29 I have been given the following cases to solve in an attmept 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 diagnosis and coem up with a treatment plan. This is the link of the questions asked regarding the cases:       http://medicinedepartment.blogspot.com/2021/05/online-blended-bimonthly-assignment.html?m=1 Below are my answers to the Medicine Assignment based on my comprehension of the cases.  FIRST CASE(NEUROLOGY) A 55 year old female patient, a resident of Miryalaguda and farmer by occupation  came to the hospital on 17/5/21  with the  chief complain ts   of  shortness of breath, pedal edema and facial puffiness  https://soumyanadella128eloggm.blogspot.com/2021/05/a-55-year-old-female-with-shortness-of.html 1) What is the evolution of the symptomatology in this
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65 yr old male with fever,dry cough and generalised weakness

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  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. CASE PRESENTATION: A 65 year old male came to casualty  with c/o Fever since 20 days  Cough since 10 days Generalised weakness since 10 days HOPI : Patient was apparently asymptomatic 20 days back then he developed fever which is  of high grade,intermittent,  associated with chills and no diurnal variation.  He  had Cough since 10 days which is associated with sputum which is white in colour He also had loss of appetite and generalised weakness No h/o nausea, vomiting  No h/o loose stools No h/o constipation  PAST HISTORY : K/C/O TB 1 year back(used medication for 6 months) Not a K/C/O DM/HTN Person
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54 yr old male with dyselectrolytemia

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  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. CASE PRESENTATION: A 54year old male ,came  with complaints of Hiccups since 4 days  Decreased Apetite since 4 days Generalised weakness since 4 days HOPI : Pt was apparently asymptomatic 7 years back and then had history of trauma to foot which was not healing went to hospital and was diagnosed as having diabetes initially on OHA and later changed to insulin (MIXTARD) Patient has similar complaints 8 months ago and 4 months ago and 1 month ago developed similar complaints of hiccups and was in altered sensorium and was diagnosed as altered sensorium secondary to dyselectrolytemia and CKD(Diabetic n
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