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36 year male ,chest pain since 2 months and history of Aortic valvotomy in 1997
This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs. This E log book also reflects my patient - centered online learning portfolio and your valuable inputs in the comment box . I have been given this case to solve in an attempt to understand the patient clinical data analysis to develop the competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with diagnosis and treatment plan. A 36 yr old male with chest pain and history of valvotomy C/O :chest pain since 2 months HISTORY OF PRESENTING ILLNESS -Patient was apparently asymptomatic 2 months back the...
GENERAL MEDICINE
GENERAL MEDICINE. M.YASHWITHA. ROLL.NO:73. 35 F WITH AKI ON CKD A 35 year female, resident of manipaka, came to casualty with complaints of bilateral pedal edema since 20 days, decreased urine output since 20 days, Facial puffiness , shortness of breath ( a/w orthopnea and PND ) .. H/O fever spike +, 10 days back, not associated with chills and rigor, subsided on taking medication. C/o cough with expectoration, (yellowish in colour). Pt was apparently asymptomatic 2 months back then she developed chest pain for which she visited local hospital in miryalaguda , on evaluation she was diagnosed to have chronic kidney disease and low hemoglobin, 2PRBC Transfusions were done After PRBC transfusion she developed b/l pedal edema, which subsided on medication., • 20 days back she developed b/l pedal edema, reduced urine output, sob a/w orthopnea, and PND, and facial puffiness. •10 days back she developed fever a/w chills and rigor, which subsided on medicatio...
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