Medicine prefinal paper 1

 

















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55 yr old male with polycystic kidney disease

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 55 Yr old male, granite cutter by occupation presented to casualty due to swelling of both the feet. Chief complaints:  Swelling of both the feet and shortness of breath from past 2 months. 𝓗𝓲𝓼𝓽𝓸𝓻𝔂 𝓸𝓯 𝓹𝓻𝓮𝓼𝓮𝓷𝓽𝓲𝓷𝓰 𝓲𝓵𝓵𝓷𝓮𝓼𝓼 :   Pt. Was asymptomatic 3 months back then he developed " wet cough ". ( on and off type)  2 months back he developed shortness of breath while doing work.  It was aggravated by work and not relieved by meds.  He also had pedal oedema ( non pitting type) and facial puffiness   since 2 months.  No h/o blood vomiting, no h/o fever.  Past history:  He got his right eye hit by a hard stone due to which he lost his  right eye vision permanently.  He's not a known case of TB/ DM / ASTHMA / epilepsy.  Personal history:  Mixed diet  -Reduced appetite  Adequate sleep -Irregular bowel movements  -Consumes Alcohol and tobacco from past 30 years.  -Pt. has Burning m...
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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. A 74 year old male came to OPD with c/o of general body pains since 5 years c/o of deviation of mouth to Right side since 4 years  c/o of headche since 15 days. HOPI: Pt was apparently asymptomatic 15 days back ...
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