PREFINAL EXAMINATION PAPER 1

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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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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 70 year old female patient came to general medicine OPD with chief complaints of Shortness of breath since 1 month Generalised body swelling since 10 days Chest pain and palpitations on and off since 1 month Vomitings 2 episodes, 1 month back HOPI Patient was apparently asymptomatic 1 month ago and then developed SOB grade IV for which she was taken to local hospital and got treated conservatively for raised creatinine and then SOB got relieved temporarily. Again after 10 days developed SOB and for which she was taken to hospital to see the creatinine levels raised and adviced for dialysis and they denied and was discharged after consecutive management and decreased symptomatically. After 10 days developed swelling of both lower limbs and abdominal distention and both upper limbs edema for which taken to hospital and foleys was placed as patient was bed ridden (since 1 month due to generalised weakness and decreased power in both lower limbs) And now came with chief complaints ...
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