2 nd Internal assessment

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159 Ravali Irugurala

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              General medicine                                        11/11/22 This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's  consent. This E log book also reflects my patient-centered online learning portfolio and your valuable inputs in the comment box below. Note : This is an ongoing case and will be updated regularly.  Date of admission: 9/11/22 Case presentation: A 14 yr old boy came to the opd with complaints of  pain abdomen  in the left side of the abdomen since the past 15-20 days Chief  complaints:   He was having pain abdomen and noticed a swelling in the left side of the abdomen since the past 15-20 days. HOPI: Patient was asymptomatic till 9 years of age. At 9 years of age August, 2016 - parents noticed neck swelling and he had difficulty i...
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159 RAVALI IRUGURALA

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4-dec-2023 60 YEAR OLD MALE CKD ON MAINTENANCE HEMODIALYSIS WITH ANEMIA OF CHRONIC KIDNEY DISEASE WITH HYPERTENSION This is an a 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 60 year old male, who is a resident of Nalgonda ,farmer by occupation came with  Chief complaints : Pedal edema since 3 months. Shortness of breath since 20 days. Decreased urine output since 15 days. History of presenting illness: The patient was apparently asymptomatic 3 months back when he noticed bilateral pedal edema initially extending to ankle Gradually progressed up to thighs which worsened during last 15 days. Decreased urine output since 15 days, not associated with frequency, urgency burn...
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