general medicine internal assessment -1

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40 YEAR OLD FEMALE WITH PERIORBITAL PUFFINESS    December 06, 2023   40 YEAR OLD FEMALE WITH PERIORBITAL PUFFINESS  ** This is an ongoing case. I am in the process of updating and editing this ELOG as and when required. Note: This is an online E Log book recorded to discuss and comprehend our patient's de-identified  health data shared, AFTER taking his/her/guardian's signed informed consent. Here, in this series of blogs, we discuss our various patients' problems through series of inputs from available global online 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 of course, your valuable inputs and feedbacks are most welcome through the comments box provided at the very end. I have been given the following case to solve, in an attempt to understand the concept of "Patient clinical analysis data" to de
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A 55 yr old male with lower back pain

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​ E-LOG GENERAL MEDICINE Hi, This is Kundana , a fifth semester medical student. This is an e-LOG depicting patient's de-identified data centered approach for learning medicine. This log has been created after taking consent from  patient and his family. Here we discuss about patient's problems with a series of inputs with an aim to solve them Chief complaints:    Patient complains of shortness of breath , fever and lower back ache . shortness of breath since 10 days Lower back pain simce 10 days  History of present illness:   The patient is apparently asymptomatic one month ago , then he developed shortness of breath  shortness of breath: insidious onset , grade-2 (NYHA) , gradually progressive  History of orthopnea, PND, cough present No history of chest pain , cold  Decreased urine output since one month Thin stream , poor flow, increased frequency, hesitency sensations present, burning micturition present, but no pain during micturition Pain: at lower back , dull boring typ
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