PREFINAL PAPER -2

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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 2da...
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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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A 36 year old male presented to opd with seizures.

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  History of present illness: On 24th a 36 years old male patient cable operator by occupation presented to general medicine opd with seizures at 3am. The patient was apparently asymptomatic until 2am then he developed seizures which occurred in 4 episodes with an interval of 5-10 minutes, each episode lasting for 2 minutes, without postictal confusion. The seizures were generalized and with vigorous contractions and relaxations. Just before the occurrence of 1st episode patient experienced tightening of muscles in the limbs and lifting of the lower limbs. 3 years back he was diagnosed with diabetes type 2 and is on medication. When RBS was done immediately after he came to hospital it was 559 and the BP was 160/100 mm Hg.  Past history: No similar complains in the past. In 2019 there was mild head trauma and swelling which subsided after 3 days. Not a known case of Hypertension, Asthma, thyroid, epilepsy. Personal history: Patient is a cable operator by occupation. He wakes u...
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