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55/M Pyrexia with ?Septic shock

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 NAME: Meghana.M Roll no: 95 Batch: 2017  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" 55 year old MALE daily wage laborer by occupation, resident of Mandapuram came with chief complaints of  Fever  since 10days,  Abdominal pain Since 10 days,  Patient was apparently asymptomatic 15 days back then he developed FEVER high-grade Intermittent, Insidious in onset, gradually progressive, decreased on using medications.  Since day 3 fever was associated With headache, chills and Rigors decreased sleep; decreased in...

66 years MALE with stage 5 CKD with type 2 respiratory failure with dyselectrolytemia secondary to renal loss or rta

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NAME: MEGHANA MUDDADA  ROLL NO: 95 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 CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT  CHIEF COMPLAINTS : C/O SOB since 1 week C/O generalised swelling since 1 week HOPI : 66 year old male, who is a father of 3 children ( 2 sons + 1 daughter).He used to sell the clothes by going to every village and take care of his family. In 2011, patient had sudden onset chest pain, where he was taken to cardiologist and Angiogram was done , where the doctors told 3 vessels were blocked and Bypass surgery (CABG)was done.After his surgery , he stopped selling the clothes by going to Village and started a small shop were he used to sell the plastic material ( buckets, mugs etc ...