1 st INTERNAL

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32 yr old with CLD seconday to alcohol

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 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.  Unit 6 admission  Ward case  A 32 year old male presented to the opd with C/O Yellowish discoluration of  eyes and passage of dark yellow coloured urine  since 1 month. HOPI Patient was app...
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Viral pneumonia

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  A 60 yr old male farmer by occupation, resident of narketpally came to the casuality  with chief complaints of dry cough, sob since 3 days and fever since 1 day. Hopi: patient was apparently asymtomatic 3days back then he had dry cough, progressive in nature not associated with any diurnal/ postural variation. sob initially grade -II gradually progressed to grade-IV.  not associated with any PND,orthopnea, pedal edema. from day 1 patient is having fever, low grade, intermittent, not associated with chills and rigors, relieves on taking medication. No h/o any decreased urine output. Past history:  no H/o of diabetes hypertension,asthma,TB, epilepsy Genral examination: pt is c/c/c,  afebrile. BP-140/80,  pr-104,  sats-89(at 15L of o2) Diagnosis: Viral pneumonia with type 1 respiratory failure with AKI Clinical pictures:- Treatment:- 1. O2 inhalation to maintain spO2 >92% 2. IVF NS, RL @75 mL/ hr 3. Inj. ceftriaxone 1gm iv/bd 4. Tab. AZITHROMYCIN 500...
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Urethra Stricture

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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 CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT  40 year old female WITH   urethra stricture under evaluation CASE HISTORY A 40 year old female , house wife ,CAME from west bengal WITH  CHEIF COMPLAINTS OF - dysuria decreased frequency of urination post void urinary retention and slow urine stream since 6 months burning micturition since 5 months dysperunia since 4 months loin and lower back pain since 1 month HISTORY OF PRESENTING ILLNESS -   patient was apparently asymptomatic 6 month back then developed dysuria which was insidious in onset gradually progressive associated with burning micturation retention of urine and lower abdom...
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