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40 Y/ M WITH CHRONIC LIVER DISEASE

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This is an onlineE log book to discuss our patients de- identified health data shared after taking his / her guardian' s signed informed consent . Here we discuss our individual patients problems through series of inputs from available global online community of experts with with an aim to solve those patients clinical problems with collective current best evidence based inputs . This E log book also reflects my patient my patient- centered online learning portfolio and your inputs are welcome.         40 year old male who is a fruit vendor , was brought to the casuality with generalised weakenss and fever since 2 days and excessive sleepiness since 2 days HOPI: patient was apparently asymptomatic 20  years back ,5 yrs back he was admitted in alcohol de addiction centre for 2 months and he stopped drinking alcohol for 4 months and then he again started drinking alchohol.  Now pt c/o generalised weakness and fever since 2 days and excessive sleepiness since 2 days PAST HISTORY: N/k/
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A 26 YEAR OLD MALE WITH ? FEVER UNDER EVALUATION WITH AKI,ALI WITH SEVERE THROMBOCYTOPENIA

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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" A 26 year old male farmer by occupation came with chief complaints of  Fever since 7 days Pedal edema since 7 days Loss of appetite since 5 days HOPI - Patient was apparently asymptomatic 1 week back ,then he had one episode of low grade fever,relieved with medication,associated with generalised body pains ,not associated with cough, burning micturition. Then developed pedal edema ,intially till ankle , gradually progressive ,pitting type. C/o loss of appetite since 4-5 days as
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A 41YEAR OLD MALE WITH CORPULMONALE SECONDARY TO COPD

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CHIEF COMPLAINTS: C/o B/L pedal edema since 20days C/o generalised swelling of body since 2days C/o scrotal edema since 10days HOPI: Patient was apparently asymptomatic 20days back then he developed B/L pedal edema which was gradual in onset, pitting type  Pt. also has h/o shortness of breath (on &off) Grade III, since 3years {10days back Pt. developed swelling of the scrotum 5x5cm in size, which is progressed to the present size 10x8cm, associated with pain; for which he got admitted in GENERAL SURGERY on 15/02/2022.  During course of management under the dept. of surgery, Pt. started developing generalised swelling of whole body since 2days and Mild SOB As the pt. requires no sudden surgical intervention(after evaluation by the surgery dept.), the case is transferred to GENERAL MEDICINE on 17/02/2022 i/v/o above complaints and falling saturation levels} Facial puffiness + No h/o othopnoea/ PND NO h/o fever/ headache/ vomitings No h/o burning micturition/ decreased urine output P
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