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50 Female with SOB , PEDAL EDEMA

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 A 50 year old female from nalgonda ,farmer by occupation has come with chief complaints of • SOB since 15 days • Pedal edema  since 15 days HISTORY OF PRESENT ILLNESS Patient was apparently asymptomatic 3 years back when she developed SOB grade 2 and pedal edema which then extended to face and body causing generalised edema . She then went to nalgonda hospital and used medications prescribed and the symptoms subsided. 6 months back in jan 2022 she developed the same symptoms and again went to nalgonda hospital and took medications and symptoms subsided. She was also diagnosed with hypertension and is not on treatment. Now 15 days back she had developed the same symptoms SOB grade 3 and pedal edema ,generalised edema and went to nalgonda hospital and since the symptoms were not subsiding they came to Kims. (First she developed pedal edema which extended and caused generalised edema 7 days after this she developed SOB grade 3). She also complains of fever for 3 days and cough a...
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55 F WITH LOW BACK ACHE SINCE 15 YEARS

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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 and your valuable inputs on the comment box is welcome."  CHIEF COMPLAINTS  55 year old female from Assam came with the CHIEF COMPLAINTS of lower back ache since 15 years . HISTORY OF  PRESENTING ILLNESS  Patient is a resident of Assam married at the age of 18 years ,started working in farms 4 years after her marriage ,her work many consisted of  ploughing and sowing ,transplanting the sampling requiring her to bend forward and lean for several hours (5-10hrs/day) She gave birth to her first child 2 years af...
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1801006032 SHORT CASE

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28 years old male presented to OPD CHIEF COMPLAINTS : 1) Generalised weakness since  2 weeks 2)Shortness of breath since 2 weeks 3)Easy fatigability since 2 weeks HISTORY OF PRESENTING ILLNESS: Patient was apparently asymptomatic 2 weeks back then he developed generalised weakness insidious in onset, gradually progressive Shortness of breath of  grade 2  which is insidious onset, which is grade 2 (NYHA classification) - slight limitation of activity -ordinary activity results in fatigue) ,no aggrevating and no relieving factors Easy fatigability present No c/o fever, nausea, vomiting, chest pain, pain abdomen, blood in stools, loose stools, sweating PAST HISTORY :  Not a known case of DM/HTN/TB/Epilepsy/Thyroid abnormalities/Asthma PERSONAL HISTORY: Decreased appetite since 5-6 months Takes vegetarian diet Bowels and bladder habits are regular sleep is regular No addictions  FAMILY HISTORY:  No significant family history TREATMENT HISTORY:  No signific...
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