prefinal paper 1

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50y/F with multiple joint pains

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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 CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT        CHEIF COMPLAINTS: c/o multiple joint pains since 1 year C/o Neck pain since 1 month C/o Diminision of vision in both eyes since 6 months  HOPI: Patient was apparently asymptomatic 1 year back then she developed pain over the DIP,PIP,MCP, elbow joint,knee joint,ankle joint ,MTP joint C/o Burning sensation of feet No c/o SOB , palpitations,chest pain ,orthopnea,PND . No c/o pain abdomen, fever , burning micturition  PAST HISTORY: Not a known case of HTN ,type 2 DM, epilepsy, thyroid disorders, asthma, Tb. PERSONAL HISTORY:   Diet - Mixed Appatite - Normal Sleep - Normal Bowel and Bladd...
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27 YR OLD MALE PRESENTED WITH UPPER ABDOMINAL PAIN

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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 CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT         CHIEF COMPLAINTS:  27yr old male ,Mason by occupation resident of vellanki came with chief complaints of upper abdomen pain. HISTORY OF PRESENTING ILLNESS : Patient was apparently asymptomatic 3 days ago then he developed stomach pain in epigastric region which is insidious in onset pricking type of pain radiating to back,gradually progressive in nature  It aggrevated on not having food didn't relieve even on taking medication. He had 1 episode of vomiting on 30/12/22 which is non projectile and non bilious ,with food contents in it. He had 5-6 episodes of vomiting on 31/12/22. Hist...
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40y/M with c/o pain abdomen

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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 CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT      CHEIF COMPLAINTS: c/o pain Abdomen since 2 days  HOPI: Patient was apparently asymptomatic 2days back then developed pain over the left hypochondriac region since 2 days radiating to the right hypochondriac region  C/o vomiting since yesterday ,3 episodes watery in consistency ,non-blood stained,non foul smelling No c/o fever , decreased urine output ,loose stools H/o Burning micturition since 2 days  C/o SOB , palpitations, orthopnea,pnd  PAST HISTORY: Not a known case of HTN,DM,Asthma,Epilepsy. PERSONAL HISTORY:  Diet - Mixed Appatite - Normal Sleep - Normal Bowel and Bladder -R...
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