1 st INTERNAL

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Urethra Stricture

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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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A 50yr OLD MALE WITH IDIOPATHIC PARKINSONISM

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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.  This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box is welcome 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.  Patient came with Chief Complaints of : Unintentional Shaking movements in his Rt Hand Since 4 months HISTORY OF PRESENT ILLNESS : Patient was apparently asymptomatic 4 months ago a...
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