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Showing posts from November, 2021

Case History - 3

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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 patient's clinical problems with collective current best evidence-based inputs. CHIEF COMPLAINTS :- A 50 y/o man who is a daily wage labourer in a nearby village came to OPD with  1) Shortness of breath - 25 days 2) Swollen feet - 2 months  HISTORY OF PRESENT ILLNESS : * The patient was Asymptomatic 2 months back, then he developed Shortness of breath and Oedema aggravated to the knee in the past 20 days * The patient stopped working since the past 25 days because of severe S.O.B - Grade 3 and weakness. * The s.o.b aggravated in the supine position and he wakes from sleep due to s.o.b * Pt. c/o pedal oedema on and off since 1 month which aggravated to the knees not subsidi

II INTERNAL ASSESSMENT

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1. Anatomical and etiologic localization for hemiparesis and further management. 2. Etiology pathogenesis clinical features management complications of acute pancreatitis. 3. Dengue Fever clinical features and complications. 4. Cushing syndrome. 5.Mandibular advancement device 6.Cardiogenic pulmonary edema. 7.Rheumatoid arthritis 8.Leptospirosis. 9.Hear failure. 10.Ascites 11. Pyrexia of unknown origin. 12. Drug-induced liver injury. 13. Evaluation of low back ach 14. Renal artery stenosis. 15. Acute kidney injury. 16.Oral hypoglycemic agent. 17. Micro vascular and macro vascular complications of diabetes 18. Lights criteria. 19. Metabolic acidosis 20. Iron deficiency anemia.