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A 60F with megaloblastic anemia

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DOA - 27/11/2023 CHIEF COMPLAINTS Fever since 1 week Palpitations since 1 week  Generalised weakness since 4 days  Chest pain and tightness since 4 days HISTORY OF PRESENTING ILLNESS  The patient was apparently asymptomatic 1 week ago and then she developed fever which is sudden in onset, high grade, associated with chills and rigors, relieved temporarily on medication.  Palpitations are present since 1 week which are regular and associated with chest discomfort. There is H/o shortness of breath on exertion which is progressive (grade 2 to grade 3). No orthopnea, or PND. There is associated generalised weakness since 4 days and blood in stools since 3 days.  There is no h/o vomitings, loose stools, pain abdomen, giddiness. PAST HISTORY N/k/c/o DM, HTN, Asthma, TB, Epilepsy, CAD, CVA There is h/o tubectomy  PERSONAL HISTORY  Diet mixed  Appetite normal Sleep adequate Bowel and Bladder-regular  Addictions - None GENERAL EXAMINATION  Pt is conscious, coherent and cooperative and well orie
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General medicine internal paper

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65M with filariasis and multiple blisters on right leg

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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 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-centred 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 65 yr old male resident of nalgonda weaver by occupation came to OPD with  Chief complaints Swelling in the right lower limb and scortum since 5 days  Multiple blisters on the leg since 5
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60F Diabetes 10 days, fever, weakness since 1 day

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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 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-centred 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 I am presemting a case of 60 year old female, house wife resident of addaguduru, came to opd with Chief complaints: High grade fever since  6 days, not associated with chills and rigor, comp
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General Medicine 2nd Internals Exam

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​ https://medicinedepartment.blogspot.com/2023/07/2019-mbbs-batch-8th-semester-ist.html?m=1
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