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2nd internal assessment

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A 54 year old male with chronic kidney disease

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Note - This is an a online e log book to discuss our patient's 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 centred 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. 2nd December 2022 Manvi Sharma  Roll no 88 (2k18 batch)  CASE -  A 54 year old male came to OPD with chief complaints of -  bilateral pedal edema since 1 week  decreased urine output since 1 ...

1st internal assessment

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80 y/o male with hypoglycemia

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Manvi Sharma Roll no 88 Batch of 2018  Case history-  14 September 2022 An 80 year old male, a resident of Chityal was brought to the casualty in an unresponsive state at around 6:00am.  The patient was apparently alright few hours back. The day before he ate at 5 pm and went to sleep.He woke up and then couldn't sleep again at night. He tried sleeping but suddenly got up and then experienced a fall. Went to sleep again without eating anything. He woke up at around 1:00am to have some food (a glass of milk and rice). He then slept back. At around 4:00 am he felt uneasy and tried to wake up his wife by tapping her. She didn't respond initially. Later, she saw that he was sweating profusely, had raised body temperature and was unable to see or unable to talk even though there was movement of the neck muscles.  He was taken to the nearby hospital in Ramanapet where they noticed that his pupils are asymmetric and non- reactive to light.There was increased effort of breat...