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Final practical examination: short case

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  This is 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 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 on comment box is welcome. E.Laharika  Hall ticket no: 1701006040 CASE PRESENTATION :     51 year old male patient who is resident of chityal ,and works in a transportation company came to the hospital with complaints of   Fever since 10 days  Cough since 10 days   shortness of breath since 6 days  HISTORY OF PRESENTING ILLNESS: Patient was apparently asymptomatic 10 days back , then he developed  Fever since 10 days which is high grade , with chills and rigors , intermittent ,relieving with medication. Assoc

Final practical examination- Long case

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  This is 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 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 on comment box is welcome. E.Laharika  Hall ticket no: 1701006040 CASE PRESENTATION :    A 46 year old male came with chief complaints of:               Burning micturition present since 10 days         Vomiting since 2 days  ( 3 - 4 episode)         Giddiness and deviation of mouth since 1 day  HISTORY OF PRESENTING ILLNESS:         Patient was apparently asymptomatic 10years back, he complained of polyuria for which he was diagnosed with  Type 2 diabetes mellitus  he was started on OHAs, 3years back OHAs w