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18010006184-SHORT CASE

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This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. I have 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. A 28 year old male resident of nalgonda a daily wage worker came to OPD with chief complaints of Abdominal distention since 15 days Shortness of breath since 10 days . Yellowish discoloration of eyes since 15 d...
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1801006184-LONG CASE

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  This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input . This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. I have 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. A 50 year old man resident  of Miryalguda, worker in an ice factory and  came with chief complaints of weakness of right upper limb and lower limb , slurring of speech and deviation of mouth to left...
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pain abdomen secondary to uncontrolled sugars with DKA with ? pancreatitis with AKI on CKD. (CKD secondary to metabolic acidosis ) with HFPEF( EF- 58%) with metabolic acidosis secondary to DKA & CKD with H/o DM-2 , hypothyroidism , CKD 43 year female came with complaints of pain abdomen & vomitings since 1 day HOPI :  Patient was apparently asymptomatic 6 yrs back, then had anasarca , went to hospital in hyderabad & diagnosed to have  hypothyroidism ( started on tab.THYRONORM 50 micrograms)  & also diagnosed as  renal failure & was on TAB.TORSEMIDE 20MG+ SPIRONOLACTONE 50MG & also DM 2 ( started on inj.MIXTARD 6U....X.. .10U & increased doses of MIXTARD to 20U...X...25U since 1 1/2 yr.  Currently patient complaining of pain abdomen which is diffuse , intermittent, dull aching pain associated with vomitings, 2 episodes non bilious , non projectile , food as content .  No H/O fever, cold, cough, loose stools, constipation , malena,...
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