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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A 50 year old male with acute abdomen

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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.  CO
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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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