PREFINAL PAPER 1


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19 year old girl with history of fever, joint pains and vomitings

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19 YEAR OLD GIRL WITH HISTORY OF FEVER, JOINT PAINS AND VOMITINGS     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 patients 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 comment box is welcome.  A 19 year old girl, hailing from Narketpally,  came to the OPD with chief complaints of vomitings since 4days. History of present illness : The patient was apparently asymptomatic 3 months back, then she developed intermittent low grade fever that releived on taking dolo. As the fever subsided, the patient started experiencing multiple joint pains ( IP, MCP, WRIST, ELBOW, SHOULDER, KNEE, ANKLE joints ). The
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64 year old male with altered sensorium

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64 Year Old Male With Altered Sensorium 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 patients 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 comment box is welcome.  A 64 year old male , resident of Choutuppal, presented to the OPD with chief complaints of: - productive cough and hiccups since 15 days - loss of appetite and incontinence of both bowel and bladder since 11 days - unable to talk since 9 days ( the patient is conscious but incoherent ) History of presenting illness : The patient was apparently asymptomatic 15 days back then he developed productive cough that was insidious in onset . He had
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17 year old girl with diabetic ketoacidosis

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17 YEAR OLD GIRL WITH DIABETIC KETOACIDOSIS 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 patients 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 comment box is welcome.  A 17 year old girl , studying 10th class, hailing from Janapahad near Miryalaguda , presented to the OPD with chief complaints of fever and vomitings since yesterday ( 05/11/22 ) morning . History of presenting illness : The patient was apparently asymptomatic 7 years back . In 2015 ,  she got fever with 4-5 episodes of vomitings for which was taken to Nilofer where she was admitted for 1 month , they performed blood sugar tests and s
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