internal assessment

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general medicine

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Hello all this is G Pranay kumar rao,a fifth semester student.This E Log depicts the patient centered approach to learning. This is an online E Logbook recorded to discuss and comprehend our patient's de-identified health data shared, AFTER taking his/her/guardian's signed informed consent. A 65yr old male came to clinical opd with  Chief complaints   • Pedal edema since 1month  • decreased urine output  • SOB  • burning micturition  • decreased appetite  • low grade fever  • generalized weakness History of presenting illness Patient was apparently asymptomatic 1yr back ,then he developed knee pains and there was difficulty in walking ,so he was taking NSAIDS  regularly. Then he developed bilateral pedal edema since 1month and he is unable to strech his legs and he had burning micturition and decreased urine output and also generalized weakness . History of past illness k/c/o diabetes mellitus since 1yr  and Hypertension...
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67M with ABDOMINAL PAIN

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Hello all this is G Pranay kumar rao,a eighth semester student.This E Log depicts the patient centered approach to learning 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. Patient came to OPD with chief complaints of pain abdomen since 4 days HOPI :   Patient...
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sickle cell crisis

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Hello all this is G Pranay kumar rao,a fifth semester student.This E Log depicts the patient centered approach to learning. This is an online E Logbook recorded to discuss and comprehend our patient's de-identified health data shared, AFTER taking his/her/guardian's signed informed consent. This is a case of 14 yr old female diagnosed with Sickle cell anaemia have multiple admissions for sickle cell crisis  now presented  with chief complaints of        - Joint pains more at night         - Right knee pain since 15 days         - left leg shin pain History of presenting illness Patient was apparently asymptomatic 10 yrs back and diagnosed as Sicke cell anaemia with known history of Abdominal pain, yellowish discoloration of eyes,SOB,fever,dry cough, pleural tap  and she had  blood transfusion 15 times since childhood and had multiple episodes of sickle cell crisis  and brochopneumonia  an...
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