prefinals General medicine paper-2

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56F Abdominal pain 5 years, ileal perforation 1 year, Lump abdomen 1 month

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 A 56 year old female have complaints of pain abdomen since 10 days History of presenting illness-patient was apparently asymptomatic 6 months ago then she was diagnosed to had intestinal obstruction for which she got operated.Now she has complaints of left iliac fossa pain since 3 months aggregated since 10 days pricking type of pain continuous and associated with fever. No ho vomiting,diarrhoea  No h/o blood in urine,Malena ,no h/o headacge,dizziness. No h/o SOB, palpitations,chest pain. K/c/o intestinal TB 3 years ago(used ATTmedication for 1year) K/c/o hypothyroidism 10 years ago on thyronorm 50 MCG  K/c/o CAD 6 months aho N/k/c/o hypertension,diabetes,asthma,epilepsy. Treatment history Sx laparotomy for iliac perforation. Personal history: Diet :Mixed Appetite : normal Sleep: adequate  Bowel and bladder movements: regular No significant family history General Examination: Patient is conscious,coherent and cooperative Moderately built and nourished Pallor, icterus, cyanosis , clubb
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65 year old female patient with altered sensorium

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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" 65 year old female patient with altered sensorium - October 06, 2022  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
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62 yr old male came to opd for dialysis

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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 . Khushi Tulsyan Roll no. 75 A 62 yr old male farmer by occupation presented to opd for dialysis.  HISTORY OF PRESENTING ILLNESS- Patient was apparently asymptomatic 1 month back.Then he has shortness of breath while climbing Upstairs ( grade 2) Then he had decreased appetite. Then he started having shortness of breath since 10 days back even while talking . He had a decrease in his appetite since 10 days and low grade continuous fever so he visited local hospital where in routine exam
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