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Medicine assessment January

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"This is my submission for the Bimonthly internal assessment for the month of January." Most of the information here have been collected from different reference sites, links to which have been mentioned.The points copy pasted have been put in quotes. The questions to the cases being discussed are from the link below: https://medicinedepartment.blogspot.com/2021/01/medicine-paper-for-january-2021.html?m=1 26 year old woman with complaints of altered sensorium somce 1 day,headache since 8 days,fever and vomitings since 4 days Blog: https://harikachindam7.blogspot.com/2020/12/26-year-old-female-with-complaints-of.html a) what is the problem representation of this patient and what is the anatomical localisation for her current problem based on her clinical findings. Answer) This is a case of 26 year female who had history of headaches since 1 month which was relieved on taking medication  Since the last 8 days she has bitemporal vertex headache since 8 days after she stopped usi...
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55 year man with Recurrent Focal seizures

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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 patient's 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 the comment box is welcome. Here is a case i have seen: 55 year old man presented to the casualty with the complaints of Unable to move his right upper limb since 9am yesterday recurrent episodes of seizures since 9 15am yesterday. Patient works as a maestri near Nalgonda. He is married to a farmer and has 3 children. His elder son works at a poultry farm, his daughter works as a teacher at a local government school and his youngest son has traumatic paraplegia since 2 years. He has been an alcoho...
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A 39 year old man presented with complaints of abdominal distension, bilateral pedal edema, and decreased urine output .

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A 39 year old man presented with complaints of abdominal distension, bilateral pedal edema, and decreased urine output since 20 days. Patient works in vegetable market and has 2 children(1 son and daughter) .History of fever since 20 days on and off for 3 days. Patient earliest recall of events dated 20days back, where he attended a marriage, his symptoms started after intake of alcohol. He developed low grade fever for which he used medication for 2-3 days and noticed abdominal distention on not subsiding.They visited gastroenterologist and was advised admission.The patient denied any admission as he would continue medication on opd basis. 2 days later on further worsening he was admitted in another hospital and was told he had kidney infection (in his words ) and was admitted on not improving and with increasing trend of creatinine levels,the patient was advised dialysis and was reffered to kamineni. History of alcohol intake present since 15 years which is around 3-4 times a week a...
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