General medicine case

  Final Examination Practical Short Case This is an online E-log book to discuss our patients de-identified health data shared after taking his /her/ guardian informed consent here we discuss our individual patients problems through series of input from available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs. Date of admission:- 5/2/22 A 67year old male  has come to casualty with chief complaints of acute onset of shortness of breath since 1 week , swelling in leg since 1 day, SOB while lying down and also sudden SOB during sleep. History of Present illness:- Patient was apparently asymptomatic since 20 yrs back then he developed severe cough with sputum went to hospital and diagnosed with TB use ATT course for 9 months and relieved. Patient developed shortness of breath of grade 2-3, grade 2 pedal edema of pitting type. Past History:- know case of TB. Not a know case of diabetes, hypertension

  Final Exam Practical Long Case This is an online E-log book to discuss our patients de-identified health data shared after taking his /her/ guardian informed consent here we discuss our individual patients problems through series of input from available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs. Date of admission:- 3rd February 2022 A 43 year old female patient came to the opd with chief complaints of low backache since 2 days, vomitings and pain in the abdomen since 1 day.  History of Present illness:- Patient was apparently asymptomatic since 6 years ago.Then she had anasarca for which she was admitted in hyderabad. There she was diagnosed with hypothyroidism ,renal failure  and diabetes mellitus . Now she came to opd with pain in the abdomen which is of diffuse ,intermittent ,dull aching pain associated with vomitings 2 episodes a day which is of non billious, non projectile and conta