PREFINALS EXAMINATION

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65 year old male with decreased urine output and giddiness

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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. A 65 year old male resident of Choutuppal, Potter by occupation came to casualty with  decreased output and giddiness since 3 days and vomitings since 2 days  HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 6 years back and then he developed body pains for which he went to local RMP and was on painkillers since then. 3 years ago on regular check up he was diagnosed with hypertension and is on medication since then. 1 year ago patient was diagnosed with diabetes mellitus and was on regular medication since then. 3 days ago the patient complains of decreased urine output, associated with burning mi...
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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. CASE:  A 79 y/o male was brought to casuality with c/o cough since 20 days ,  fever since 10 days difficulty in swallowing since one month C/o altered sensorium since 3 days HISTORY OF PRESENTING ILLNESS  Patient was apparently asymptomatic 20days back then he developed cough insidious in onset and gradually progressive productive but patient is not able to spit it out.  Difficulty in swallowing. Series of events as follows * Patient developed cough and cold on ...
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