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Showing posts from November, 2021

Case History-4

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 In this online e-logbook, we upload our patients de-identified health data shared after taking his/guardian's signed informed consent. Here we discuss our individual patient problems through series of inputs from an available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence-based inputs. A 48 year old man, who works as an auto driver, hailing from Chityala presented to the hospital with- • generalized swelling of legs since 10 days. • SOB since 7 days. ( Especially when lying down.) Date of admission - 21/11/21. HISTORY OF PRESENT ILLNESS • Patient was apparently asymptomatic 2 weeks back.   • The patient usually wakes up at around 5am to 6am. • Then after washing his face and brushing his teeth, he goes out for walking for around 30 minutes. • After coming back, the patient resumes with his occupation of driving autos till 9pm with a lunch break at 12pm. • The patient has his food at 9pm and goes to bed

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. 5.Mandibular advancement devices 6.Cardiogenic pulmonary edema 7. Rheumatoid arthritis. 8. Leptospirosis. 9. Heart failure. 10. Ascites.                                                                                      11. Pyrexia of unknown origin                                 12. Drug induced liver injury.                                           13. Evaluation of lower Back ache.                     14. Renal artery stenosis.                              15. Acute kidney injury.                      16. Oral hypoglycemic agents                       17. Micro vascular and macro vascular complications of diabetes.                           19. Metabolic acidosis.                     20. Iron deficiency anemia.