prefinal examination paper-2

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  This is online E-blog, to discuss our patient de-identified health data shared after taking her guardian's signed informed consent. Here we discuss our individual patient problems through series of inputs from available global online community of experts with an aim to solve the patients clinical problem with current best evidence based input. This E-blog also reflects my patient's centred online learning portfolio. 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.  A 80yr old male patient came to the opd on friday with chief complaints of 1.fever since 8 days. 2.Dry cough since 5 days HOPI The Patient was Apparently asymptomatic 8 days back then he developed fever which is on & off and not associated with chills and rigor. Then patien...
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40 M C/o weaknesses of body since 1 month

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40 yr male  Pt came to the opd with C/o weakness of the body since 1 month  Hopi : pt was apparently asymptomatic 4 yrs back then he developed headache and weakness of body . So , he went to the local doctor and was diagnosed as hypertension. But patient was not taking any medication. So, he again developed weakness of the body since 1 month .  Weakness is associated with the the dizziness and sweating .  No H/0 nausea , vomiting , burning micturition, constipation .  Past H/o : k/C/o HTN since 4yrs but not taking any medication                    N/k/C/O DM , Asthama , TB , epilepsy, cva , cad ,thyroid.  General examination: pt. Was conscious, coherent and cooperative moderately built and well nourished.  General examination; No pallor ,  icterus,cyanosis, clubbing,pedal edema , no lymphadenopathy Vitals  Temp- afebrile  PR - 90 bpm BP- 170/100mmHg RR- 16CPM Systemic examination CVS- S1,...
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75 YEAR OLD FEMALE WITH C/0 FEVER , BURNING MICTURATION SINCE 4 DAYS

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  A 75 year old female came to the medicine opd with c/o fever and burning micturition since 4 days  Hopi : patient was apparently normal 4 days back then she developed fever which is of low grade , intermittent associated with chills and rigor not relieved by medication . Subsided now .  C/o burning micturition since 4 days  and c/o generalized weakness since 4 days C/o swelling of both lower limbs 2 days back pitting type , extending up to knee joint , reduced now .c/o dryness of tongue , c/o pain in the lower abdomen . No c/o decreased urine output ,SOB , chest pain , loose stools , orthopnea , PND , constipation.  Past history: N/K/C/O DM , HTN , asthma , epilepsy , cva , cad , thyroid disorders. Personal history:- Diet - Mixed Appetite - Normal Bowel and bladder - regular Sleep - adequate No addictions No H/o food and drug allergies Family history:- Not significant  General examination:- Patient Patient is conscious, coherent, cooperative ,moderately b...
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