General medicine 1st internal assessment

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A 65 year old POSTURAL DIZZINESS AND VOMITING

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65Year old female POSTURAL DIZZINESS AND VOMITING December 03, 2023 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.   63 year old housewife from Nalgonda  Chief complaints- Vomiting 5 episodes 3 days ago History of present illness-  Patient was apparently alright 1 year back then developed vomiting associated with giddiness and pain. she came to our hospital and vomiting subsided with treatment. She was asked to take Vertin 24 (betahistine) at discharge. she took the medication for 3 months and then stopped after consulting with her physician. She had mild episodes of vomi
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GENERAL MEDICINE CASE DISCUSSION

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MEDICINE CASE DISCUSSION 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 inputsThis e-log book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome     Adla Greeshma      Roll no: 148      3rd semester CASE PRESENTATION     A 61 year male farmer by occupation came to OPD  for hemodialys. COMPLAINTS AND DURATION   Patient was apparently alright 3 years back with complaints of lower back pain went to local hospital found out to be having RENAL FAILURE , on medication for 2 years ( with baseline serum creatinine 3mg/dl)  Then went to NIMS hospital on 08/09/2020 with complaints of anorexia , dyspepsia , insomni
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