PREFINAL PAPER 1

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30year female presented with shortness of breath since 2 days

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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 History of presenting illness:  Patient was apparently asymptomatic till 2017 then she had loss of patches of hair ,joint pains and oral ulcers and was diagnosed with Systemic lupus erythematosis.  Then she developed pedal edema and renal biopsy was done and diagnosed  with  lupus nephritis and was on conservative management. Patient was initiated on hemodialysis since February 2023 and is on MHD(maintenance hemodialysis).  Patient presented with shortness of breath since 2days which
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60Y /F WITH RIGHT UPPER AND LOWER LIMB WEAKNESS WITH DEVIATION OF MOUTH TO LEFT

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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 patients' problems through a series of inputs from the available global online community of experts with an aim to solve those patients' clinical problems with collective current best evidence-based information. This E blog also reflects my patient-centered online learning portfolio and your valuable input in 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 coming up with diagnosis and treatment plans. is an online e-log book to discuss our patient's de-identified health data shared after taking his / her / guardians' signed informed consent. Here we discuss our i
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77 year old male with SOB

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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 A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS WITH AN AIM TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT . A 77 year old male, fruit vendor by occupation came to opd with chief complaints of shortness of breath since one week. HOPI : Patient was apparently asymptomatic two years ago then he developed bilateral knee pain for which he went to the hospital and incidently diagnosed with hypertension. After which he was started on antihypertensives which he did not use regularly. Two months ago patient developed shortness of breath which was insidious in onset and gradually progressive as dyspnea appeared on doing  minor physical activity and progressed to SOB on walking for small distances( Grade 2 to Grade 3) a
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