Prefinal Answer sheets

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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

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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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