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General Medicine E - log by Kehkashan Tabassum [Roll no: 38]

Prefinal Examination

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- December 11, 2022

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A 18 y/o female with a complaint of shortness of breath.

- January 18, 2023

This is an online e-log platform to discuss case scenario of a patient with their guardians permission. 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 a diagnosis and treatment plan. Chief Complaints : A 18 year old female who is a student, came to the casuality on 03.01.23 with chief complaints of: - shortness of breath since 2days - fever since 1 week - pain and swelling in the perianal region since 10 days History of present illness: The patient was apparently asymptomatic 6 years ago. Course of events: 6 years ago: She went to a nearby hospital because of her weakness, polyuria, polydipsia, polyphagia, and weight loss; while there, her GRBS was high and she was diagnosed with diabetes; she then started using insulin injections. Injecction mixtard 20U - x- 15U. In between due to ra...

44 yr old male patient complaints of pedal edema since 10 days and decreased urine output since 5 days

- August 20, 2022

This is 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. Chief complaints: A 44year man who is a farmer by occupation came to OPD with chief complaints of: 1)B/L pitting type of pedal edema since 10 days and decreased urine output since 5 days 2)pain in the abdomen since 4 days 3)vomiting since a day. History of presenting illness: He was apparently asymptomatic 1 and 1/2 yrs back , then he developed swelling in face and lower limbs and visited doctor , and was on medication . He stopped medication after 10 days. After few days he had difficulty...

Suppression of appetite due to excess alcohol consumption

- November 10, 2022

Welcome and greetings to every one who are visiting my blog. This is an online E log platform to discuss our patient's de-identified health data shared after taking his/her/guardian's signed, informed consent. I have been given this case in order to solve in an attempt to understand the topic of patient's clinical data analysis to develop my competency in reading and comprehending clinical data and come up with a diagnosis and treatment plan. CHIEF COMPLAINT: A 65 year old man who is a laborer by occupation came to OPD with a chief complaint of : -Decreased appetite since 4-5 months. -SOB on exertion since 6 days. -Generalized weakness. HOPI: The 65 yr old male patient was apparently alright 5 months back. Then he had complaints of decreased appetite. Patient is chronic alcoholic since 8 years which increased since 5-6 months, where he used to drink alcohol and skipped his meals. Daily Routine: He is a daily laborer. He start his morning at 6:00 AM and complete his breakfas...