Internal Assessment 2














 

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39 year old male patient presents to casualty with complaints of shortness of breath

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A 39 year old male came to the casualty around 10 pm with  Chief complaints of sob since 3 days.  Fever since 10 days Cough since 10 days Chest pain since 10 days Pain abdomen since 10 days HOPI :  Patient was apparently asymptomatic 10 days back, then he developed fever associated with chills and body pains, headache, sore throat. Patient had cough which was productive with white coloured sputum. Then patient got tested positive for Widal after 4 days of onset of fever. He used symptomatic medication for a week. Then, he developed SOB since 3 days for which he got admitted in Nalgonda. SOB was insidious in onset, gradually progressed from grade 2 to grade 4 since past 10 days, SOB was more in sitting position and relieved on lying down, as his SOB aggravated, patient got shifted from that hospital and presented to our casualty. Patient also used to complain of intermittent chest pain, pain abdomen since 15 days Past History : Admitted to a hospital for pain abdomen for 4...
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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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