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1601006153 : LONG CASE (GM Final Practical)

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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 on the comment box is welcome. A 61 year old gentleman who is resident of Kangaal ,shepherd by  occupation came with complaints of pain in abdomen from 10days,Fever from  2 days HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 10 days ago ,then he developed 1. Pain in abdomen      -from  10 days    -It is a diffuse type , insidious in onset , progressive, dragging associated with shortness of breath , it was non radiating pain with no diurnal variations , it was relieved by sleeping si
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1601006153: Short case Final practical

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GM FINAL PRATICAL SHORT CASE  This is an online E log book to discuss our patients de identified data shared after taking his /her/guardians signed consent form  Mbbs final short case  --------------------------------------- 35 year old male patient , resident of ramachandrapuram works as a daily wage labourer, since 20 years he is a chronic smoker (1 pack of beedi every 2 days ) and a chronic alcoholic(90 ml daily ) . He presented with a 3 month history of painless papules with erythema that started initially over the face ,then it gradually extended to upper limb ,lower limb and trunk  No hypodense lesions  No fever  No pus  No loss of sensations  No genital lesions  He had soap and topical cream available and some oral drugs taken from the nearby medical shop  He used this remedy for 2 months , some lesions regressed over time ,but few persistent lesions were noticed on hands ,leg ,trunk ,earlobe ,nose  Then the patient developed blackish skin discoloration 14 days  ago over hands
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GENERAL MEDICINE case presentation by R.Sanjay138

A 42 yr old Women With Multiple Health Events May 16, 2020             R SANJAY                ROLL NO : 138 ki Following is my analysis of the 42 year old female  patient multiple problems which she had since birth: You can find the entire real patient clinical problem here:( https://classworkdecjan.blogspot.com/2019/05/42-f-with-severe-regular-edema-with_17.html?m=1 ) JAUNDICE at birth which was persistent for sometime  May indicate HAEMOLYTIC ANAEMIA due to erythroblastosis foetalis which causes destruction of red blood cells in pregnancy  SLEEPLESSNESS:   (since birth which might have occurred due to   G6PD Deficiency or AMPD1 deficiency)     {These diagnoses were suspected based on other symptoms like: Anaemia, Exacerbation of symptoms after consumption of flava beans and antiviral drugs for G6PD deficiency. Muscle dysfunction for AMPD1 deficiency.} OEDEMA (Fluctuating) (Overview of G6PD deficiency:            https://medlineplus.gov/ency/article/000528.htm) (Edema was extremely f
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