exam medicine 2nd internal

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Nephrostomy

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GENERAL MEDICINE        Hello all. This is Tejaswi, a third-semester medical student. This e log depicts the patient-centered approach to learning.  This is an online E Logbook recorded to discuss and comprehend our patient's de-identified health data shared, AFTER taking his/her/guardian's signed informed consent. Note: This is an ongoing case and will be updated as and when we find new information. 55 YR OLD MALE PT WITH B/L HYDRONEPHROSIS  CASE SHEET  Date of admission:13/1/22 A 55 year old male patient,  agricultural labourer by occupation,married, living with his wife , had one daughter (married, lives in Nalgonda)  he is a resident of mutthayigudem came to  KIMS , Narketpally on 13/01/22 with CHIEF COMPLAINT : o pain abdomen, decreased urine output, fever, nausea and vomiting since 20 days. The patient was asymptomatic 4 months , when he developed b/l pedal edema ( upto ankle), decreased urine output, burning micturition, flank pai...
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CASE ON DENGUE

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GENERAL MEDICINE        Hello all. This is Tejaswi, a third-semester medical student. This e log depicts the patient-centered approach to learning.  This is an online E Logbook recorded to discuss and comprehend our patient's de-identified health data shared, AFTER taking his/her/guardian's signed informed consent. Note: This is an ongoing case and will be updated as and when we find new information.            Th is e log is made under the guidance of Dr.Bavya    CASE SHEET  Date of admission:20/8/21 CHIEF COMPLAINT : Fever high grade associated with chills and rigor  Generalized weakness and giddiness  Decreasing trends of platelet counts (60,000 to 45,000 to 17000) HISTORY OF PRESENT ILLNESS: The patient presented with fever and chills   The onset of fever was from the past 3 days  The patient feels rotational  while walking, gid There is generalized weakness  No hematuria ...
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Case on Pedal oedma and enlarged lymp nodes

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  E-LOGS GENERAL MEDICINE   Roll no 36 Hi, i am tejaswi5th Sem Medical Student. This is an online e-log book to discuss our patient's health data shared after taking his/her/guardian's consent. This also reflects patients centered care and online learning portfolio. 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 patients clinical problems with collective current best evidence based inputs. Hope this will be informative! * This is an ongoing case. I am in the process of updating and editing this ELOG as and when required. A 47 yr old female patient came with cheif complaints of shortness of breath and pedal odema from 2 months. She also presented with abdominal distension from past 2 months . Has enlarged lymp nodes the right side of neck.  History of present illness   Patient was apprently a symptomatic 6 yrs back and had generalised body weakness for which she we...
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