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BIMONTHLY EXAM MARCH 2021

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General medicine Bimontly exam 2 MARCH 2021 March 21, 2021 bimonthly examination - march 1) Please go through the patient data in the links below and answer the following questions: https://ashakiran923.blogspot.com/2021/03/60-years-old-male-fever-under-evaluation.html?m=1 a). What is the problem representation of this patient and what is the anatomical localization for his current problem based on the clinical findings?How specific is his dilated superficial Abdominal vein in making diagnosis? -Based on the clinical symptoms and signs, the clinical diagnosis of the patient can be-  UTI with cirrhosis of liver with portal hypertension.  b) What is the etiology of the current problem and how would you as a member of the treating team arrive at a diagnosis? What is the cause of his hypoalbuminemia?Why is the SAAG low? -The etiology of the disease in this patient could be a chronic history of alcoholism. Chronic smoking leading to his apthous ulcers.  Based on his clinical finding there c
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31year old male with numbness and weakness of left upper limb and lower limb

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Interns Dr Mohitha Dr supriya Dr Sanjay Dr Soumya Dr Amrutha Dr Durga krishna PGY1 Dr Ajith Kumar PGY2 Dr Laxma Reddy PGY3 Dr Manasa PGY3 Dr Vijayalaxmi (asst proff) 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. Here is a case i have seen: 31 old male who is a water supplier by occupation came to casuality at 10pm on 8/3/21 with C/o numbness of left upper and lower limb since yesterday 7pm C/Oweakness of left upper limb and lower limb since yesterday 7pm Patient was apparently asymptomatic  1 day back
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85YEAR OLD MALE WITH SHORTNESS OF BREATH ,PEDAL EDEMA AND DECREASED URINE OUTPUT

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Dr Mohitha Dr supriya Dr Sanjay Dr Soumya Dr Amrutha Dr Durga krishna PGY1 Dr Ajith Kumar PGY2 Dr Laxma Reddy PGY3 Dr Manasa PGY3 Dr Vijayalaxmi (asst proff) 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. Here is a case i have seen: 85year old male came to casuality on 4/3/21 with  C/O pedal edema since 7 days        Shortness of breath since 7 day        Abdominal distension since 7 days        Decreased urine output since 7 days Patient was apparently asymptomatic 1 year back , then developed pedal
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54Yr OLD MALE WITH SEIZURES (GTCS)

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INTERNS Mohitha M Supriya K Soumya Sanjay Amrutha Dr Durga krishna PGY1 Dr Ajith Kumar PGY2 Dr Laxma Reddy PGY3 Dr Manasa PGY3 Dr Vijayalakshmi (asst proff) Dr Durga krishna PGY1 Dr Ajith Kumar PGY2 Dr Laxma Reddy PGY3 Dr Manasa PGY3 Dr Vijayalakshmi (asst proff) 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. A 54yr old male patient came with Complaints of seizure from yesterday Patient was apparently asymptomatic 6 days back then he developed fever for 2 days (20/2/21)which was low grade ,intermittent
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41 YEAR OLD MALE WITH HIGH COLOURED URINE SINCE 2 YEARS PAIN ABDOMEN SINCE 1 WEEK

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Interns Mohitha M Supriya K Soumya Sanjay Amrutha PG Dr Durga krishna PGY1 Dr Ajith Kumar PGY2 Dr Laxma Reddy PGY3 Dr Manasa PGY3 Dr Vijayalakshmi (asst proff) 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. 41yr old male pt came to casuality on 25/2/21 at 7 pm with  c/o high coloured urine since 2 yeara c/o pain andomen since 2 days pt was apparently asymptomatic 6years  back In 2015 he developed high coloured urine for which he went to the private hsptl and was told that he had  ureteric calculi(no medical records)
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