PREFINAL EXAM ANSWER SHEET PAPER-1

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35 year old male with history of giddiness

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This is an online e log book to discuss our patient identified health data shared after taking his/her guardian signed informed consent. Here we discuss our individual patient problems through a series of inputs from available global online community of experts with a aim to solve those patients clinical problem with collective current best evidence based inputs.This blog also reflects my patient centered online learning portfolio and valuable inputs on the comments box is welcome.I have been given this case to solve in an attempts to understand the topic of patient clinical data analysis, to develop my competency in reading and comprehending clinical data including history, clinical finding, investigation. CASE A 35yr old male patient resident of chinakaparthy came to the casualty with  c/o giddiness since 2days (19/12/21) , non rotational , duration-10min, aggravated on standing , relieved by supine. HOPI  Patient was apparently asymptomatic 2days back and had an episode of ...
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56 year old female with abdominal distension

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 56 year old female, resident of narketpally Came with the chief complaints of abdominal distention since 20 days and swelling of lower limbs since 20 days  History of presenting illness: Patient is apparently alright 20 days ago then she developed abdominal distension which is insidious in onset gradually progressive in nature,abdominal highness is present and aggravated after having food Patient had pedal edema till knee which is on and off and since 5 days pedal edema is continuous in nature upto knee and putting type Patient complaints of sob when abdominal bloating is present No c/o chest pain,pnd,orthopnea,palpitations  No c/o Fever,cough,cold,vomitings,loose stools  Patient is a k/c/o chronic liver disease K/c/o HTN since 13 years and on Tab.Telma 40mg po/od K/c/o DM-II since 3-4 years and on Tab.Metformin 500mg po/od K/c/o hypothyroid since 13 years and on Tab.Thyronorm 50mcg po/od Patient was admitted 11 months back with similar complaints and ascitic therap...
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General Medicine Assignment

                                  Pulmonology (Case-1) 1Q) what is the evolution of the symptomatology in this patient interms of an event timeline and where is the anatomical localisation for the problem and what is the primary etiology of the patient  problem ? 1Ans)Evolution of symptomatology 1st episode of sob - 20 yr back 2nd episode of sob - 12 yr back From then she has been having yearly episodes for the past 12 yrs  Diagnosed with diabetis - 8yrs back Anemia and  took iron injections  - 5yr ago Generalised weakness  - 1 month back  Diagnosed with hypertension  - 20 days back Pedal edema - 15 days back Facial puffiness- 15 yrs back Anatomical location of problem - lungs Primary etiology of patient- usage  of chulha since 20 yrs might be due to chronic usage  2Q)what r the mechanism of action indication and efficacy over placebo of each of the phramacol...
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