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A 35 years old male patient with hepatic encephalopathy

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 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 35 years old male patient present to the opd with chief complains of altered sensorium,yellow discoloration of sclera, pedal edema since 1 week.  History of present illness Patient was apparently asymptomatic 6 years back. Then he developed yellowish discoloration of sclera in 2014 with altered sensorium so he took treatment in hospital in Hyderabad.  Where he was diagnosed as the chronic liver disease. From then he was on medication.  Patient has habit of alcohol, so he was adviced not to consume alcohol.  He stopped the medication and continued drinking alcohol.  He had fever from 4 days which is s...

35 years old male patient with recurrent fever

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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 35year old male patient presented to the opd with fever and dizziness since 3 days.  Daily routine Patient is barber by occupatin. He wakes up at 6:00am in the morning, after his daily activity . He goes to the barber shop and runs it for 2-3 hrs. Then he drink alcohol. In afternoon after taking he lunch he sleeps for sometime. In the evening he again goes to barber shop. In the night he again consumes alcohol. Comes back home and takes dinner and sleep.  History of present illness Patient was apparently asymptomatic 3 days back. Then he developed fever which was decreasing on taking anti pyretics.  He become uncons...

2nd internal assessment

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  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

56 year old male patient with dengue fever

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 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 surgerie...