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Final Short

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A 70 year old Female labourer by occupation came with chief complaints of - Decreased urine output since 20days - Burning micturition since 20 days - Urgency and hesitency of micturition since 20 days - Mass per abdomen since 15 days HISTORY OF PRESENT ILLNESSES   The patient was apparently asymptomatic 20 days back ,then she noticed a decrease in her urine output , burning micturition,urgency and hesitency of micturition. She denies H/o fever, loin pain, hematuria. PAST HISTORY Not a k/c/o T2DM,HTN,asthma , epilepsy,TB  PERSONAL HISTORY Diet - mixed Appetite - normal Sleep- adequate Bowel movements- normal GENERAL PHYSICAL EXAMINATION Pt is conscious, coherent, cooperative,   Vitals- Temp- afebrile  Bp-90/50 mm hg Pr- 86 bpm Rr-20 cpm Spo2- 98% on RA Systemic examination RS- Bilateral Airway entry present, nvbs Cvs -S1 S2 Heard P/A - distended,tenderness + a hard mass of size 12x8 cm palpable in the suprapubic region. Cns- nad X RAY ERECT ABDOMEN ECG ULTRASOUND ABDOMEN DIAGNOSIS UROSE
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Final Long

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This is an online E logbook 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 a series of inputs from an available global online community of experts with an aim to solve those patients' clinical problems with collective current best evidence-based inputs A 60 year old male patient driver by occupation came to  causality with the chief complaints of  - Pedal oedema since 15 days.   - Shortness of breath since 5 days.    - Fever since 5 days.  - Decreased urine output since 3 days .                                                                                                        HISTORY OF PRESENT ILLNESS ; He was asymptomatic 15 days back after which developed oedema in his lower limb which is extended up to ankle which is pitting type - Fever which is continuous associated with cough and vomiting  since 5days. - Vomiting of one episode which
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3rd Internal

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1. Define Hart fairs. Eniology And Clinical features of heart failure? How do we diagnose heart failure clinically, Physical examination and various modalities used in diagnosis of heart failure Write a brief note of treatment of heart failure 2. Define Cirrhosis of liver. Etiopathegrisis of cirthesis. Write a brief note on clinical features, diagnosis and treatment of citthosis of liver. 3. Elaborate on Clinical features and diagnostic modalities in diagnosis of Renal calculi. 4 Etiology of Pleural effusion, Diagnostic criteria of pleural effusion. 5. Diagnosis and Treatment of Dengue Fever. 6. Clinical features and Diagnosis Peptic Ulcer Disease. 7. Treatment of Acute Pyelonephritis. 8. Treatment of Abdominal Tuberculosis. 9
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  This is an online E logbook 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 a series of inputs from an available global online community of experts with an aim to solve those patients' clinical problems with collective current best evidence-based inputs. CHIEF COMPLAINTS :- A 55 year old woman came to opd with   1. Bilateral swelling of legs and Shortness of                 breath since 10 days     2. Anuria  since 10 days HISTORY OF PRESENT ILLNESS : The patient was asymptomatic 2 years back until she developed pain in her lower back region which  radiates to the anterior groin region. The lower back Pain Is Dull Aching type Continuous type. She first noticed pedal oedema 1 year back which was on and off. The Lower back ache associated with Pedal oedema aggrevated in last 10 days. The Patient is On Maintainance Hemodialysis since 4 month. HIST
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CASE HISTORY

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  This is an online E logbook 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 a series of inputs from an available global online community of experts with an aim to solve those patients' clinical problems with collective current best evidence-based inputs. CHIEF COMPLAINTS :- A 36y/o man came to OPD with chief complaints of 1) Abdomen distension since 10 days 2) Scrotal swelling and pain since with Low urine output - 10 days HISTORY OF PRESENT ILLNESS : The patient was asymptomatic 8 months back then he developed abdominal distention and swelling at the scrotum which was on and off for which he came to the hospital and was treated for the same, after which the abdominal distention and swelling subsided for a few days. In the meanwhile, he restarted his habit of smoking and alcohol consumption. The abdominal distention and swelling of the scrotum
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