Swetha

  II - INTERNAL ASSESSMENT EXAMINATION Date: 15.11.2021 Anatomical and etiologic localization for h emiparesis and further management   2.Etiology pathogenesis clinical features management complications of acute pancreatitis. 03.Dengue Fever clinical features and complications 4. Cushing syndrome. 6.Cardiogenic pulmonary edema. 7.Rheumatoid arthritis. 9.Heart failure 10.Ascites   11.Pyrexia of unknown origin. 12.Drug induced liver injury. 13.Evaluation of low back ache. 14.Renal artery stenosis. 15.Acute kidney injury. 16.Oral hypoglycemic agent. 17. Micro vascular and macro vascular complications of diabetes. 19.Metabolic acidosis 20. Iron deficiency anaemia

 This is online elog book to discuss for patients deidentified health data shared after taking her/guardians signed informed consent Here we discuss our individual patient problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs. A 56 year old male patient presented to the opd with fever since 10 days.  History of present illness Patient was apparently asymptomatic 10 days back. Then he developed fever which was continues , decreasing after taking anti pyretics and again increasing.  Patient went to local hospital , then also fever did not subside so came to the KIMS.  Fever is insidious in onset, no diurnal variation.  Fever is not associated with chills or headache.  History of decreased urine output since 3days. Past history There is no history of diabetes, hypertension, TB, epilepsy There is no history of any major surgeries.  Personal history Patient