2 nd internal general medicine

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42 YEAR MALE WITH FEVER AND HEADACHE SINCE 20 DAYS

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A 39 year old male ,farmer by occupation comes to casualty with complaint of fever ,headache and pain abdomen ,loss of appetite since 20 days. Chief   complaint Patient complains of fever since 20 days,  headache since 20 days,  pain abdomen since 20 days Loss of appetite since 15 days History of presenting illness Patient was apparently asymptomatic 20 days back then developed fever of insidious onset ,gradually progressive which increases during the night and relieves on taking medication,not associated with any rash.The day before the onset of fever patient was spraying pesticide in his field ,he supposedly wanted to finish two days of work in a single day and said that he was exposed to the fumes of the sprayer for a longer period of time since usual. Pain abdomen is non radiating and not associated with nausea /vomiting  ,not associated with diarrhoea Headache is non radiating and mostly in the front and sides of the head . Loss of appetite since 15 days Patient...
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57 year old female with diarrhea

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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. 57 year old female presented to opd with cheif complaints of 1.fever since 2 days 2.loose stools since 2 days 3.generalized body weakness since 2        days HOPI Patient was apparently asymptomatic 2 days back then she had 5 episodes of diarrhea along with 1 fever spike and pain abdomen , the pain abdomen was diffuse the following day she had 2 episodes of vomiting and 4 episodes of diarrhea. History of consumption of outside food 2 days ago Patient has no complaint of chest pai...
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34 year old female with itching and red lesions ( CASE TAKEN IN MARCH)

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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 CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT." 34 year old female  ,homemaker  by occupation comes to casualty with complaint of fever ,shortness of breath and dry cough  ,loss of appetite since 7 days. Chief  complaint high grade fever and cough with yellow colored  sputum since 5 days bilateral pedal edema (pitting type) since 5 days difficulty in breathing even at rest  (grade 4) since 5 days Generalized weakness since 5 days History of presenting illness The patient was apparently asymptomatic 1 yr back when she developed b/l knee joint pain and itching in upper aspect of chest and neck.The pain was insidious in onset and gradually p...
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