exam medicine 2nd internal

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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 ,Malena ,petiche HISTORY OF PAST ILLNESS: 1 year back  He has a history of blood in stools 
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58 yr old with stroke

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58 year old male construction worker by occupational came with chief complaints of Burning sensation at right upper half of the body since 2years History of present illness Patient was apparently asymptomatic 2years than one night he suddenly  complained  of loss of vision in both eyes and he developed weakness of right upper limb and lower limb and deviation of mouth to left side which is sudden in onset preceeded by 30-40 episodes of vomiting non-bilious , non-blood tinged, projectile which was associated with involuntary movements of both upper limbs and lower limbs , associated with frothing , tongue bite , outward fixation of left eye ball. After which patient went into coma for 3 months . He was taken to rk hospital Hyderabad treated there for 15 days than was brought back home . He was later taken to Khammam for treatment 3 times in a gap interval of 10 days still patient dint recover . Later they used some herbal medication and he regained consiousness slowly . He also was take
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48M with Diabetes keto acidosis

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 48 M with diabetes keto acidosis  Hello all , I E. Tejaswi of eighth semester student.This E Log depicts the patient centered approach to learning This is an 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. This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. I have been given this case to solve in an attempt to understand the topic of “ patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with diagnosis and treatment plan. A 48 year old male Patient lorry driver by occupation came to gener
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