Internal assessment answer scripts

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This is a 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 patients problems through series of inputs from available global community of experts with an aim to solve those patients 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 comment box is welcome. I’ve 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 diagnosis and treatment plan . 45 year old male cane with the chief complaints of burning sensation of feet and tingling sensation in feet on and off since 2 months. Timeline of events : In OCT 2019: Patient was apparently asymptomatic 3 years back , then h
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40 year old patient with hepatic encephalopathy

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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 series of inputs from 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 on the comment box  40 year old male patient , resident of ongole came to causality with chief complaints of : Generalised weakness , excessive sleepiness and fever since 2 days. History of presenting illness:  Patient was apparently asymptomatic 10 years back .  Then he started drinking alcohol 90 ml everyday and smoking 1 pack / day He was admitted to deaddiction centre in our hospital 5 years back for 40 days and then got discharged. He refrained from alcohol for 5-6 months but then started drinking
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60 year female with altered sensorium secondary to dyselectrolytemia

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This is a 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 patients problems through series of inputs from available global community of experts with an aim to solve those patients 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 comment box is welcome. I’ve 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 diagnosis and treatment plan . CHIEF COMPLAINTS: Vomiting since 4 days Generalised weakness since 4 days Facial puffiness since 3 days Decreased urine output since 3 days HOPI : Patient was apparently asymptomatic 4 days ago, then she had vomitings 3-4 epis
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