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Showing posts from October, 2021

General Medicine Case history -4

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This is an online e logbook to discuss our patients de-identified health data shared after taking his /her/their guardian's signed informed consent.  Here we discuss our patient problems through a series of inputs from an available global online community of experts to solve those patients' clinical problems with collective current best evidence-based inputs. Date of admission- 12/09/2021 A 70-year-old farmer by occupation came, with a chief complaint of stomach ache for 15 days, pedal oedema (on and off ), shortness of breath on exertion since 2 months, loose stools 4-5 episodes around three days back and got subsided, with decreased urine output for 3 days, high-grade fever since 4 days, got receded, drowsiness since 2 days. HISTORY OF PRESENT ILLNESS:  The patient was asymptomatic 15 days back. Pedal oedema (on and off ), shortness of breath on exertion since 2 months, loose stools 4-5 episodes around three days back and got subsided, with decreased urine output for 3 days,