2nd Internal Assessment

 


















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A 28 year old male with Gross Ascites

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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. A 28 year came to OPD with C/o Abdominal distention since 10 days        Abdominal discomfort since 10 days History of Presenting illness  Patient was apparently asymptomatic 10 days ago then he developed Abdominal discomfort and distention of abdomen for which he visited a primary health care centre near his residence where he was adviced to get an Xray of Abdomen for which he visited our Institution. Abdominal distention was insidious in onset and gradually progre...
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A 66 year old male patient with multiple painful blisters over the body

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Patient is referred from Dermatology department.  A 66 year old male patient from Kakkereni, AP Lingotam, Shepherd by occupation came to the OPD with C/o Multiple painful blisters all ove the body sparing palms and soles.  History of presenting illness Patient was apparently asymptomatic 5 years ago then he started developing itching all over the body suddenly which subsides temporarily on applying Vaseline.  5 days ago he developed a blister on the dorsal surface of the middle distal phalynx of his left hand following which his body started itching and blisters started appearing on his body starting from the periphery spreading to the trunk which were painful. It was associated with fever but cured immediately on taking medication. The blisters are rupturing spontaneously and serosanguinous fluid is oozing out of the ruptured blister.  Past history He had no similar complaints in the past.  K/c/o Diabetes mellitus since 5 years and Hypertension since 3 years an...
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A 23 year old male with fever

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 A 23 year old man from Hyderabad Car mechanic by occupation came to the OPD with C/o Fever for 2 days prior to admission History of presenting illness Patient was apparently asymptomatic 5 days back then he developed fever on Friday night that is on 15th of July 2022 which was associated with chills and fatigue.Next day morning he took an antipyretic(dolo 650mg) which was not helpful in subsiding the fever.  A day later he visited an RMP doctor as the fever did not subside and was treated symptomatically. He was asked to go to a better hospital to get diagnosed and treated as the fever didn't seem to come down. Fever lasted for only two days according to the patient.  No spikes of fever since admission H/o fatigue associated with fever No h/o headache, muscle pains, joint pains,rash. No h/o cough, abdominal pain, dysuria, diarrhoea, nausea, vomitings Habitat- Patient informs that his habitat contains a lot of mosquitoes.  Past history No similar complaints inthe pas...
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