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A 20 YEAR OLD MALE CAME WITH FEVER AND VOMITING

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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 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. A 20 year old male driver came to opd wit complaints of  1) Fever since 2days  2) Vomiting since 6hrs HISTORY OF PRESENTING ILLNESS Patient was apparently asymptomatic 2 days back then he developed fever which is not associated with chills and rigors and relieved with medication. No diurnal variation. Vomiting since 6hrs with 3 episodes and content as food material, blood tinged, non bilious, non projectile. He skipped 1 dose on insulin yesterday evening. No h/o loose stools, pain...
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60 YEAR OLD MALE WITH UNCONTROLLED BLOOD SUGARS WITH RIGHT LOWER LIMB CELLULITIS

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  A 60 year old male complaints of swelling of right lower limb since 5 days. HISTORY OF PRESENTING ILLNESS Patient was apparently asymptomatic 5-6 days ago, then he developed a swelling over right lower limb near ankle joint as he scratched over the swelling which increased gradually and is associated with pain. GRBS- 542 mg/dl. No H/o fever, nausea, vomiting, burning micturation. PAST HISTORY K/C/o DM type 2 since 9 years on GLIMI-M2 N/K/C/O HTN, CVA, CAD, TB, Epilepsy, Thyroid disorder. PERSONAL HISTORY Diet - Mixed  Appetite - Normal  Sleep - Adequate  Bowel - Hard stools  Bladder - No burning micturation. DAILY ROUTINE Occupation- Tailor 6AM- Wakes up 8AM- Starts work 9AM- Breakfast 1PM- Lunch 6PM- Stops work 8PM- Dinner 10PM- Sleep FAMILY HISTORY - Not significant  GENERAL EXAMINATION Patient is conscious, coherent and co operative . Well oriented to time, place and person. Moderately built and nourished. No pallor, icterus, clubbing, cyanosis, lympha...
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Medical assignment

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MEDICINE ASSIGNMENT 31st May 2021 Medicine assignment for the month of May 2021 Viharika Vupputuri  Roll no - 144  I   have been given the following cases 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 diagnosis and coem up with a treatment plan. This is the link of 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 :   PULMONOLOGY    A 55 year old female with 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 ...
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