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65 year old male with CKD .

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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 65 year old male plumber  by occupation resident of suryapet came to OPD with chief complaints of  Breathlessness since 6 months . Swelling in both limbs (below knee) since 5 months . Decreased urine o...
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23 year old female with facial periorbital edema and pedal edema.

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 This is an a 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. The patient/ attender was informed the purpose of the information being acquired. An informed consent was taken from patient/ attender and there is omission of information that was requested to be omitt. A 23 year old female resident of vutikodu  farmer by occupation came to OPD with chief complaints : ✓periorbital edema (on and off) since 5 months. ✓Bilateral Pedal edema (on and off) since 5 months. ✓Fatigue since 5 months. History of presenting Illness: Patient was apparently asymptoma...
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50 Y/M with c/o chest pain and Dyspnoea

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 A 50 year old male resident of khasanaguda tailor by occupation came with chief complaints 1)chest pain since 3 years  2) shortness of breath since  3 years 3) cough since 1 week  Patient was apparently asymptomatic 5 years ago . March 2019  He had c/o fever , high-grade , not associated with child and rigors since 4 days , redness , pain and swelling in rt lower limb since  3 days . Initially it started as a bleb and  it progressed to swelling of limb  associated with pain . He was examined, investigated and diagnosed as Rt lower limb cellulitis with  ulcer over rt dorsum of foot. S/P - Split Skin Graft  Stayed at hospital for 3 months and got discharged  2022  He went to hospital with c/o dyspnea ( grade 2 mmrc ) since 1 month . No h/o chest pain, palpitations, sweating, pedal edema , pnd , orthopnea . He was started on medication 1) T.Aspirin 75 mg  2) T.Atorvastatin 20 mg  3) T.Met xl  15 mg  4) T Lasix...
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