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MODS with ? DIC secondary to toxin mediated(?alcohol)/ infection(? Bacterial/leptospirosis/viral) with AKI(resolved) with acute liver failure(resolving) with alcohol withdrawalWith thrombocytopenia(resolved)With right sided pleural effusionWith moderate ascitis(low SAAG high protein)

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TEJASWINI MARISA(INTERN) This is 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 patients clinical problms with collective current best evidence based inputs. This e-log book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome . CHIEF COMPLAINTS: A 20 year old male patient is drowsy since 1.5 hrs C/o 20-30 episodes of vomiting in the past 2 days HOPI: Patient is an occasional alcoholic since last 4 years, who started consuming alcohol regularily since last 3 years(3-4 times a week) since last 20 days. Patient has been drinking alcohol daily. His last binge was 3 days ago. He had multiple episodes of vomitings since day before yesterday, which were present till yesterday initially they...

36/M WITH BILE REFLUX GASTRITIS WITH HIATUS HERNIA WITH MILD PROLAPSING GASTROPATHY

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TEJASWINI MARISA(INTERN) This is 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 patients clinical problms with collective current best evidence based inputs. This e-log book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome . CHIEF COMPLAINTS: patient  with c/o vomitings since 5 days HOPI: Patient was apparently alright 9 years back He consumed pesticide for suicide and was taken to hospital where thorough stomach wash was done and he was discharged home. From then onwards patient complaints of vomitings occuring for every 6 months bilious type, non projectile, which happens for  6 to 7 days for which he goes to local hospital and gets treated. Last episode of vomitings w...

55yr old female with fever and headache

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Final exam Short case Name: M.Tejaswini Halltkt:1701006107 A 55yr old female came with chief complaints of: -fever since 4 days -headache since 4 days History of present illness Patient was apparently asymptomatic 4 days back then she developed fever which was insidious in onset, continous type relieved with medication and not associated with chills and rigors. Fever was associated with diffuse headache which was throbbing type present throughout the day and relieved with medication. There was 1 episode of vomiting which non projectile, non bilious, content was food. She also had neck stiffness. There's no history of photophobia, giddiness,seizures. Past history No similar complaints in past Not a known case of DM, HTN, TB, asthma, epilepsy Personal history Diet:mixed Appetite:normal Sleep:adequate Bowel and bladder: regular No addictions No known drug and food allergies Family history Not significant General examination Patient is conscious, coherent, coperative. Moderately built ...

15yr old male with chest pain and breathlessness

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Final exam - long case Name : M.Tejaswini Hallticket no: 1701006107 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 15yr old male patient came with the complaints of: -Chest pain since 3 months -fever since 2months -Breathlessness since 1 month History of present illness Patient was apparently asymptomatic 3 months back then he developed chest pain which was insidious in onset, gradually progressive dull aching non radiating increased on lying down, and on turning on left side. Pain relieved on sitting. No history of papitation...

40yr old male with shortness of breath

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Final practical_short case Name: M.Tejaswini Halltkt no. 1701006107 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. CASE: A 40 year old male patient presented to hospital with  chief complaint : Shortness of breath- 7 days History of present illness: Patient was apparently asymptomatic 7 days back then he developed shortness of breathe which is insidious in onset, gradually progressive from Grade I to Grade II(MMRC), aggravates on exertion and relieved  on rest and sitting position and not associated with wheeze, ...