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A 32year old male came with chief complaints of pain in the abdomen and vomiting

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 A 32year old male truck driver by occupation came to causality with chief complaints of pain in the abdomen and vomiting since one day.  HISTORY OF PRESENT ILLNESS: the patient was apparantely asymptomatic one day back then he ate food that was prepared on the same day, then he developed pain in the abdomen around the umblicus,which is squeezing type of pain, gradually progressive with no aggravating and relieving factors. Then he developed vomiting of two episodes which is projectile in nature, non foul smelling, white in colour.  Associated with shortness of breath grade4 HISTORY OF PAST ILLNESS : The patient had a similar complaints 4yrs back then he admitted in sunshine hospital for which he took treatment.  He is not a known case of diabetes mellitus, hypertension, epilepsy, asthama PERSONAL HISTORY : Patient takes a mixed diet Decrease in appetite Weight loss Adequate sleep Decreased bowel movements Bladder movements are normal  Addictions :Patient consum...
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Final practical medicine short case

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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 . I’ve 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. Registration number:1701006174 Case: A 52year old male patient came to the opd with Cheif complaints : Fever since 4days Abdominal distension since 3days AbdominalPain since 3days History of present illness: Patient ...
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This online E-log Entry Blog is an objectively structured clinical examination method to assess the clinical competence during the course of my General Medicine Internship rotation (June'2023-August'2023) by reviewing the case reports shared below and to discuss, understand and review the clinical scenarios and data analysis of patients so as to develop my clinical competency in comprehending clinical cases, and providing evidence-based inputs for questions surrounding the clinical vignettes borrowed from the E Log Book.Note: The cases have been shared after taking consent from the patient/guardian. All names and other identifiers have been removed to secure and respect the privacy of the patient and the family.

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35 year old male patient resident of katamgur,toddy worker by occupation came with C/o distension of abdomen since 3 months, shortness of breath since 3 months.c/o pedal edema since 20 days. Case blog: http://129sowjanyaboyapati.blogspot.com/2023/07/35-year-old-male-patient-resident-of.html Questions: 1.What is the cause of cirrhosis of liver? Due to daily consumption of 50ml of alcohol since 20 years. 2.What is the cause of ascites in the patient: Ascites is the build-up of fluid in the abdomen. This occurs when the liver gets irreversibly scarred, a condition known as cirrhosis. Ascites is the most common complication of cirrhosis.  3.What is the cause pleural effusion in the patient? In cirrhosis, pleural effusion is cause by high pressure in the portal vein (called portal hypertension). In many cases, the fluid build up starts in the abdomen (ascites) but eventually passes through holes in the diaphragm, into the chest (pleural effusion). 4.what is the cause of peda...
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