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55 yr old male with abdominal pain and chest pain , shortness of breath

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  55 yr old male with abdominal pain, chest pain, shortness of breadth.  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 an 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 in the comment box is welcome N. Raveela Roll. No :95 55yr old male came to the opd with cheif complaints of abdominal pain 5 days and chest pain 2 days.  HOPI:  Patient was apparently asymptomatic 5days back ,then he consumed alcohol for 3 days without taking proper food and started developing abdominal pain ,which is sudden in onset , dragging type , gradually progressive ,aggrevated by alcohol intake and relieved ...
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Medicine Case Discussion

  Online Blended Bimonthly assignment towards summative assessment for the month of May 2021 Pulmonolgy 1) A 55yr old female with Shortness of breath,pedal edema and facial puffiness.  A) What is the evolution of the symptomatology in this patient in terms of an event timeline and where is the anatomical localization for the problem and what is the primary etiology of the patient's problem? Ans:At the month of january that year during which time she was working in a paddy field. For the next 8 years the patient has suffered from similar episodes of SOB every year each lasting aproximately 1 week For the past 12 years she has been having an yearly episodes now lasting around a month again around january. Until her latest episode the SOB was of grade II Her latest episode of shortness of breath started 30 days ago, her SOB was insidious in onset and gradual in progression. Initially the SOB occurred on exertion and was relieved upon rest. From 2 days ago she started having SOB e...
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CKD with ADPKD

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  Case of 55 yr /M with CKD with Autosamal dominant PKD.  Cheif complaints :  *pedal edema   and facial puffiness since 3 months.  * sob since 2months HOPI: Patient was apparently asymptomatic 3 months back then he developed  pedal edema   first observed at ankle later progressed upto the knee (pitting type) along with facial puffiness in the same time period.  He also complained of SOB since 2 months Initially it was  observed on doing his regular work(Granite cutting) and  then aggrevated even on walking (Grade 2) not relieved on medication.  The patient had a history of occasional cough on and off, usually productive, since 2 months while doing his work which subsided on  medication.  No h/o blood vomiting, fever and burning micturation.  He was taken to a hospital in Nalgonda where he was asked to get usg abdomen done and diagnosed with poly cystic kidney disease and referred to KIMS for further evaluati...
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