FIRST INTERNAL ASSESSMENT ANSWER SHEET

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A 27 year old male with generalised weakness since 20 days and yellowish discoloration of eyes since 2 years

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16 APRIL 2023 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. CHIEF COMPLAINTS: Yellowish discolouration of eyes since 2 years   Swelling of feet since 20 days  Generalised weakness since 20 days  Loss of appetite since 20 days  Fever since 2 days  HISTORY OF PRESENTING ILLNESS: Patient was apparently asymptomatic 2years back,then his mother noticed that her son was frequently complaining of generalised weakness and not eating anything and then a week after she noticed yellowish discoloration of eyes,for which she took him to hospital where they treated him in view of his addiction to alcohol and suggested him to abstain from alcohol.He took medi...
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A 39 year old male with cough and fever

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5th April,2023 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" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with diagnosis and treatment plan. 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 throug...
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A 66 YEAR OLD MALE WITH MULTIPLE PAINFUL BLISTERS

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My patient is a 66year old male, shepherd by occupation referred from dermatology dept. Patient c/o blisters all over the body and a swelling of the distal part of left middle finger. H/O itching all over the body since 5 years. HISTORY OF PRESENT ILLNESS Patient was apparently asymptomatic 5years back,then he developed itching all over the body which was on and off.Five days back, patient developed multiple polysized, painful blisters on both legs&hands,buttock and on the chest,associated with crusting,oozing and bleeding.There is a swelling at the distal phalanx of the left middle finger which is associated with a blister,the swelling is filled with serosanguinous fluid and is resolved after incision and drainage. PAST HISTORY No h/o similar blisters in the past. Patient is a k/c/o diabetes and hypertension since 5 years. No h/o asthma,epilepsy,TB,CAD. DRUG HISTORY Telmisartan for hypertension Metformin 500mg for DM PERSONAL HISTORY Diet- mixed Appetite- normal Sleep- adequate...
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