2nd internal assessment

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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/...
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case 2

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Name: A. Greeshma  Roll no : 148 Introduction:   65yrs old male came to gen medicine department with chief complaints of bilateral pain and swelling since 10 days , bilateral loin pain since 10 days, fever and chills since 8 days ,bilateral pain in inguinal region since  5 days ,loose stools since 3 days . HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 10 days back ,then he developed complaints of  bilateral pedal edema pitty type associated with pain and redness with local rise in temperature .he also had bilateral loin pain 10 days  back later he had complaints of fever associated with chills, intermittent,no diurnal variation since 5 days ,he had complaints of pain in  bilateral inguinal region  for which with all above complaints he was taken to hospital and was diagnosed as AKI on CKD  with bilateral lower limb cellulitis , he also had loose stools 3 days back  watery not associated with blood   which...
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