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A 68YRS WITH ALTERED SENSORIUM UNDER EVALUATION SECONDARY TO ?SEPTIC ENCEPHALOPATHY WITH TYPE 2DM SINCE 25YRS WITH HTN SINCE 20YRS WITH LEFT 3RD TOE NON HEALING ULCER

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This is an online Elog book to discuss our patient deidentified health data shared after taking his/ her guardians signed informed consent. Here we discuss our individual patient problems through series of inputs from available Global online community of experts with an aim to solve the patients clinical problem with current best evidence based input. This Elog also reflects my patient centered online learning portfolio. 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 a diagnosis and treatment Chief complaints:: A  68yr Rtc bus driver came with C /o ulcer over the left foot since 1month Blackish discolouration of left 3rd toe since 15days Burning micturition  since 15days Altered sensation since 3days History of present illness:: Patient was apparently asymptomatic 1month ago then he had
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68YRS WITH LEFT UPPER LOBE CONSOLIDATION ?TB WITH PLEURAL EFFUSION WITH CAD - NSTEMI WITH CKD

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This is an online Elog book to discuss our patient deidentified health data shared after taking his/ her guardians signed informed consent. Here we discuss our individual patient problems through series of inputs from available Global online community of experts with an aim to solve the patients clinical problem with current best evidence based input. This Elog also reflects my patient centered online learning portfolio. 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 a diagnosis and treatment Chief complaints::   Patient  daily wage worker by occupation came with c/o FEVER SINCE 20 DAYS COUGH since 20days Loss of appeptite since 10days Shortness of breath since 10 days Weight loss since 2months History of present illness :: Patient was apparently asypmtomatic 20 days back then she devel
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61YRS WITH K/C/O BRONCHIAL ASTHMA AND K/C/O CAD UNDERWENT S/P PTCA

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This is an online Elog book to discuss our patient deidentified health data shared after taking his/ her guardians signed informed consent. Here we discuss our individual patient problems through series of inputs from available Global online community of experts with an aim to solve the patients clinical problem with current best evidence based input. This Elog also reflects my patient centered online learning portfolio. 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 a diagnosis and treatment Chief complaints::   Patient came with c/o cough since 18months Shortness of breath since 1yr Chest tightness and epigastric pain since 1yr History of present illness:: Patient was apparently asymptomatic 18months back then he developed  cough insidious in onset gradually progressive,dry, diurnal v
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General Medicine Internship Real Patient OSCEs towards optimizing clinical complexity

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Introduction:  This online E-log Entry Blog is an objectively structured clinical examination method to assess the clinical competence during the course of my General Medicine Internship rotation (June'2023-August'2023) by reviewing the case reports shared below and to discuss, understand and review the clinical scenarios and data analysis of patients so as to develop my clinical competency in comprehending clinical cases, and providing evidence-based inputs for questions surrounding the clinical vignettes borrowed from the E Log Book. Note:  The cases have been shared after taking consent from the patient/guardian. All names and other identifiers have been removed to secure and respect the privacy of the patient and the family. AMC CASE NO.1  PATIENT CAME TO OPD WITH C/O VOMITINGS SINCE 1WEEK YELLOWISH DISCOLOURATION Of EYES SINCE 1WEEK Detailed history :::: patient was a AUTODRIVER  by occupation works daily from 7am  to  9pm  developed . VOMITINGS SINCE 1WEEK YEL
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