general medicine internal assessment

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60yr old male with CKD on haemodialysis

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Dec 02,2023 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. Name: P.Rakesh Roll no: 101 60 y old male  who is resident of suryapet ,farmer by occupation  came to opd with  chief complaints :- Pedal edema since 3 months Shortness of breath Since 20 days Decrea
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Learning points : I learnt about the CNS examination. How to elicit sensory ,motor system of CNS  How to interpret the cerbellum signs  Gradings of reflexes , power . And also about CNS lesions( UMN and LMN ). Indications of dilalysis: Complications of dilalysis: Uremic encephalopathy:
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A 70 yr old women with sob and fever

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  September 10th,2022 This is an online E - log book to discuss our patients 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 portfolio and your valuable inputs on the comment box. Chief complaints: Shortness of breath grade 4, from 10 days ,fever from 10 days,loss of appetite from 6 days ,burning micturition from 4 days,decrease urine output s from 4 days. History of presenting illness: Patient was apperantly asymptomatic 10 days back then she had SOB grade 4 and fever which is intermittent associated with rigors and chills and relieved on medication. Patient was taken to hospital 8 days back and diagnosed as typhioid and was treated for the same. Patient c/o o
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