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PREFINAL PRACTICAL EXAM 1801006156

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 PREFINAL PRACTICAL EXAM 45 year old Female, farmer by occupation came to medicine OPD with chief complaints of Fever since 5 days Loose stools 2 days back HISTORY OF PRESENTING ILLNESS:- Patient was apparently asymptomatic 5 days back   then she developed  low grade fever  which was insidious in onset and intermittent in nature associated with chills and rigor. Loose stools 2 days back ,4 episodes liquid in consistency ;not associated with blood. Weakness since 5 days. History of  dry cough since 4 days. No history of burning micturition. No history of pain abdomen. No history of intake of outside food. No history of pain abdomen. No history of vomiting. No history of toddy drinking. DAILY ROUTINE:- Patient wakes up at 7 AM and does her household work  and have breakfast around 9 AM and goes to work at agriculture land for  3 hrs and comes back between 12-1 PM and have lunch at 2PM, takes rest for the day. Patient have dinner at around 8PM and goes to sleep at 9PM.She takes rice with
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Prefinal theory. 2023

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MY EXPERIENCES WITH GENERAL CELLULAR AND NEURAL CELLULAR PATHOLOGY IN A CASE BASED BLENDED LEARNING ECOSYSTEM'S CBBLE

 I'm SHAIK SAMEER, a under graduate medical student from Telangana, India. I m here to share my experience that i have learned in the past years under the guidence of my beloved professor of general medicine. CBBLE PAJR PARTICIPATORY LEARNING ACTION RESEARCH DISCLAIMER  NOTE: THIS IS AN ONLINE E LOGBOOK 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 A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS INTENDING TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT. MY FIRST PATIENT INTERACTION I FIRST INTERACTED WITH MY PATIENT IN THE AMC WARD. HE WAS SEVERELY DEHYDRATED AND WAS IN SEVERE PAIN.SO I WENT NEAR HIM AND ENQUIRED ABOUT HIS MEDICAL CONDITION. I HAVE TAKEN A DETAILED HISTORY FROM THE PATIENT TO FIND OUT THE EXACT CAUSE AND THE CONDITION HE IS FACING. FROM  THE HISTORY I GOT TO KNOW THAT H
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32 year male with fever and stomach pain

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  32 year male c/c fever stomach pain ,    32 year old male farmer by occupation resident of suryapet came to opd with  Chief complaints :  Fever since 1 week  Stomach pain at right side since 1 week HOPI Patient was apparently asymptomatic 1 week back then he developed fever which is sudden in onset ,continous,gradually progressive associated with chills and rigors,evening rise of temperature was present with night sweats.no aggregating factors ,temporarily relieved by medication  Patient also complained of abdpmen pain since 1 week in right hypochondriac,rt.lumbar,umbilicus region aggrevated on inspiration and relieved by rest H/O cough since 3 days ,insidious in onset,non productive type,non blood stained,non foul smelling No h/o post nasal drip,cold,hoarseness of voice,noseblock No h/o dyspnea,chestpain,palpitations No h/0 PND,orthopnoea No h/o nausea vomiting,abdominal distension,constipation,loose stools Past history  H/o admission in hospital due to same complaints  Not a K/C/O
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40M WITH BLOATING AND YELLOWISH DISCOLOURATION OF EYES

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  40M WITH BLOATING AND YELLOWISH DISCOLORATION OF EYES. 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. 48 year old male resident of Chityala Auto Driver by occupation  CHIEF COMPLAINTS  Abdominal distension since 20 days   Breathlessness since 20 days  Swe
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