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bimonthly examination - march

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bimonthly examination - march 1) Please go through the patient data in the links below and answer the following questions: https://ashakiran923.blogspot.com/2021/03/60-years-old-male-fever-under-evaluation.html?m=1 a). What is the problem representation of this patient and what is the anatomical localization for his current problem based on the clinical findings?How specific is his dilated superficial Abdominal vein in making diagnosis? -Based on the clinical symptoms and signs, the clinical diagnosis of the patient can be-  UTI with cirrhosis of liver with portal hypertension.  b) What is the etiology of the current problem and how would you as a member of the treating team arrive at a diagnosis? What is the cause of his hypoalbuminemia?Why is the SAAG low? -The etiology of the disease in this patient could be a chronic history of alcoholism. Chronic smoking leading to his apthous ulcers.  Based on his clinical finding there could be portal hypertension which could have ...
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sob under evalution with old pulmonary kochs

C/o sob grade 3 since 3 months C/o chest tightnesss  Dry cough and low grade fever since 4 months  Pedal edema pitting type since 3 months Pt was apparently asymptomatic 10 yrs back then he developed cough with expectoration  Low grade fever following which he was diagnosed with pulmonary tb and used att for 6 months now presented with  sob on exertion,pedal edema ,dry cough,low grade fever since 3 months History of tb 10 yrs back used att for 6 months K/c/o DM Since 6 yrs and on gliclazide 80 mg metformin 500 mg not a k/c/o htn ,cva,ckd Provisional diagnosis sob under evaluation with old pulmonary kochs with dm 2 Treatment  TAB .Lasix 40 mgPo bd Tab.gliclazide 80 mg od Tab metformin 500 mg od Neb with budecort 12 th hrly Inj hydrocort 100 mg iv stat
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bimonthly assessment february

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1Q.  50 year man, he presented with the complaints of Frequently walking into objects along with frequent falls since 1.5 years Drooping of eyelids since 1.5 years   Involuntary movements of hands since 1.5 years  Talking to self since 1.5 years    https://archanareddy07.blogspot.com/2021/02/50m-with-parkinsonism.html?m=1 https://youtu.be/kMrD662wRIQ a. What is the problem representation of this patient and what is the anatomical localization for his current problem based on the clinical findings? This was our unit case, and the first time I've seen a case with Progressive Supranuclear Palsy 50 year old man, detected to be a diabetic 9 months back, presented with the complaints of: Frequently walking into objects along with frequent falls since 1.5 years Drooping of eyelids since 1.5 years   Involuntary movements of hands since 1.5 years  Talking to self since 1.5 years  Bed wetting since 1 year The patient also has had 3 suicidal attempts in...
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40 yr old with sob ,orthopnea and fever

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. Here is a case i have seenComplaints of sob ( grade 2 -grade 3) according to NYHA classification since 1 week  Pt was apparently asymptomatic 1 week back then he developed  shortness of breath ( grade 2-grade3) according to NYHA classification which is associated with orthopnea , pnd . K/c/o bronchial asthma since 10 years  C/o loose stools (2-3episodes)watery consistency H/o fever 1 week back associated with chills and rigors subsided on  taking medication...
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43 yr old male with cough and right lower limb weakness

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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. Here is a case i have seen A 43 old male patient came with the  C/o neck pain ,  c/o weakness of  rt lower limb since 6 months,  c/o cough with sputum since 6 months ,  c/o fever since 6 months Patient was apparently asymptomatic 6 months back then he developed neck pain which was sudden in onset gradually progressive and taken to yashoda hospital and pain relieved on medication C/o weakness of rt lower limb which was gradual in onset ,progressive in n...
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dimorphic anemia with hyponatremia

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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. Here is a case i have seen 52 year old male , shopkeeper by profession  complains of  SOB, cough  ,decrease sleep and appetite since 10 days . patient was apparently asymptomatic 10 days back then he developed sob ( grade 2 _3) according to NYHA classification, no complains of palpitations , chest pain ,orthopnea and pnd Complains of cough with sputum. whitish in colour non foul smelling since 2 days Complains of decreased sleep since 10 days. Same history appro...
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