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Final exam short case

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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"  Cheif complaints: 70 Year old female patient presented to OPD with the cheif complaints of sob since 5 days and also complaints of vomitings since morning, loose stool 2-3 episodes,  HISTORY OF PRESENT ILLNESS :  Patient apparently asymptomatic 3 years ago Patient went to regular check up diagnosed with Hypertension and on Regular medication .           Patient was able t

Final exam blog

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  This is an online E-log book to discuss our patients de-identified health data shared after taking his /her/ guardian informed consent here we discuss our individual patients problems through series of input from available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs. Date of admission - February 3  43 year old female patient presented to the opd with chief complaints of low backache since 6days, vomitings and pain in the abdomen since 5day.  History of present illness- Patient was apparently asymptomatic since 16 years back , then she had anasarca for which she was admitted in hyderabad. There she was diagnosed with hypothyroidism ( tab. Thyronorm 50 micrograms  ),renal failure (tab. Torsemide 20 mg+spironolactone50mg) and diabetes mellitus for which she was on injection Mixtard and increased in doses since 1 and half year.   Now she presented to the opd with pain in the abdomen which is o