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Bimonthly exam March 2021

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patient data in the links below and answer the following questions: https://ashakiran923.blogspot.com/2021/03/60-years-old-male-fever-under-evaluation.html?m=1 a). What is the problem representation of this patient and what is the anatomical localization for his current problem based on the clinical findings?How specific is his dilated superficial Abdominal vein in making diagnosis? -Based on the clinical symptoms and signs, the clinical diagnosis of the patient can be-  UTI with cirrhosis of liver with portal hypertension.  b) What is the etiology of the current problem and how would you as a member of the treating team arrive at a diagnosis? What is the cause of his hypoalbuminemia?Why is the SAAG low? -The etiology of the disease in this patient could be a chronic history of alcoholism. Chronic smoking leading to his apthous ulcers.  Based on his clinical finding there could be portal hypertension which could have been preceeded by cirrhosis of liver which might have b...
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February bimonthly exam

FEBRUARY BIMONTHLY EXAM Questions: Q.1) Please go through the patient data in the links below and answer the following questions: 50 year man, he presented with the complaints of Frequently walking into objects along with frequent falls since 1.5 years Drooping of eyelids since 1.5 years Involuntary movements of hands since 1.5 years  Talking to self since 1.5 years  More here: https://archanareddy07.blogspot.com/2021/02/50m-with-parkinsonism.html?m=1 Case presentation links:  https://youtu.be/kMrD662wRIQ a). What is the problem representation of this patient and what is the anatomical localization for his current problem based on the clinical findings? problem presentation: drooping of eyelids since 8 to 9 months refractory to treatment involuntary movements of bilateral upper limbs frequent episodes of fatigue since one year thin stream of urine with bed wetting since one year according to attenders  change in behavior (talking to self) since 1.5 years anatomical l...
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A. 70 yr old female with pneumonia

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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 is welcome. Here is a case i have  seen : A 70 year old female came with c/o shortness of breath since yesterday night ,fever since 2 days ,cough since 2 days ,vomitings since 1 day (1episode yesterday, 2 episodes today) Patient was apparently asymptomatic 3 days back attended a party and had cool drinks and then next morning developed fever with cough then developed vomiting 1 episode at 4 pm then pt was normal till 8 pm night then started developing shortness of breath which was ...
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A 23 year old male with thrombocytopenia with umbilical hernia

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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 is welcome. Here is a case i have seen:  A 23 yr old male came with  c/o fever since 2 days  c/o generalized body ache since 2days pt had swelling above the umbilicus since 2 years  HOPI-pt was apparently asymptomatic 2days back then he developed fever which is sudden in onset gradually progressive ,relieved on medication, continuous type  associated with chills and lower back ache  no H/o headache ,retrorbital pain ,rashes ,burning micturition,cold,cough, ge...
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57 yr old male Acute GE with pyrexia under evaluation

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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 is welcome. Here is a case i have seen:  A 57 yr old male patient came with c/o fever since 12 days  C/o pain in the epigastric region since 10 days  Patient was apparently asymptomatic 12 days back which was insidious in onset high grade intermittent associated with chills for 4 days fever free period for 3 days  He developed fever high grade associated with chills releived on medication  H/o pain in epigastrium ,h/o vomiting 4 days back for 1 day  5 episode...
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48 year old female with heart failure

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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 is welcome. Here is a case i have seen:A 48 year old female came with c/o Sob since 7 days grade 2 ,exertional + pain in the left infrascapular region since 7 days ,H/o weight loss  Patient was apparently asymptomatic 7 days back then developed sob which was gradual progressive grade 2 relieved with medication and patient also had a pain in the left infrascapular region 7 days back which was releived with medication  No h/o fever ,loose stools ,burning micturition  K/...
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A 33 yr old male patient with acute on chronic pancreatitis and cholelethiasis

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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 is welcome. Here is a case i have seen:  A 33 year old male who was dry fish shop owner and cab driver by occupation came with c/o pain abdomen in the epigastric and left hypochondric region since 1 month  Pain was moderate-severe intensity,intermittent and aggravated with food intake,releived with medication Patient was apparently asymptomatic 3 yrs back then developed pain abdomen (for which appendicectomy done)from then there are 4 episodes of acute pancreatitis ,patient got ...
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