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70 yr old male with c/o fever since 20days, Cough and cold since 10 days

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  This is an a online e log book to discuss our patient 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 centered 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 plan The patient/ attender was informed the purpose of the information being acquired. An informed consent was taken from patient/ attender and there is omission of information that was requested to be omitted. 

32M PAIN ABDOMEN AND VOMITING SINCE 1 DAY, FEVER SINCE 4 DAYS.

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  32M PAIN ABDOMEN AND VOMITING SINCE 1 DAY, FEVER SINCE 4 DAYS.  This is an E-Log, that depicts the patient centered approach for learning medicine .This E-Log has been created after taking consent from the patient and their relatives. The links that were used by me for understanding the available data on the particular disease have been mentioned below in each post . Hope you learn valuable information after giving it a good read! CHIEF COMPLAINTS: C/o vomiting since 1 day.( 10-15 episodes) - non bilious - non projectile - immediately after drinking water or eating food C/o pain abdomen since 1 day - epigastric region - non radiating HISTORY OF PRESENTING ILLNESS: Patient was apparently asymptomatic 4 days back then developed fever, low grade, intermittent type. Patient had 1 episode of involuntary movement (seizure) with loss of consciousness. PAST HISTORY: Not a k/c/o hypertension, diabetes type 1 and 2, coronary artery disease, Epilepsy, CAD. IN june 2020 Patient admitted in our h

General Medicine Internship Real Patient OSCEs Towards Optimizing Clinical Complexity

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  General Medicine Internship Real Patient OSCEs Towards Optimizing Clinical Complexity This is an online e log book to discuss our patient 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 centered 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 plan. C/o abdominal distension, Abdominal bloating sensation since 20days  Bilateral Pedal edema since 6months History of presenting