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26 yr old male patient with abdominal pain

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 This is online E-log book to discuss our patients deidentified health data shared after his/her/guardian's signed informed consent .Here we discuss our individual patient's problem through series of inputs from online global community 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 on comment box is welcome. A 26yr old male resident of nlg came with chief complaints of pain in abdomen since 2 days and also had episodes of vomiting. HOPI pt was apparently asymptomatic 4 days ago then developed abdominal pain at the left upper region which was sudden in onset , nonradiating,progressive dull aching type associated with nausea and vomiting which are non bilious non projectile with food as content No h/o of fever, loose stools, burning micturition Not a k/c/o of HTN DM TB asthma epilepsy PAST HISTORY He was a k/c/o acute pancr...
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 Learning Points: I learned the difference between Cardiac asthama and Bronchial asthama. I learned the role of corticosteroids in treatment of Bronchial Asthama. I learned why the corticosteroids are given in Inhalation route. I learned the signs and symptoms of Bronchial asthama I learned importance of developing raport with patient that helps in eliciating detailed history. OSCE: Types of abnormal breath sounds: 1 .Wheezing - High pitched soundeds produced by narrowed airways 2.Stridor - Wheeze like sound heard when a person breaths 3. Rales- Small Clicking, bubbling ,or rattling sounds in the lungs .They are heard when a person breathes in Inhales. 4.Rhonchi - Sounds that resembles snoring  Q.Sequence of events : What was your patient's hourly workflow before the illness and how did it change after?  A:  Before the Illness: 1. Morning Routine:    - Woke up at 6 AM and engaged in household activities, including dishwashing and cooking breakfast.   ...
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    T his is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. I have 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 A 65 year old male, resident of nalgonda, farmer by occupation presented to the casualty with CHIEF COMPLAINTS --  1. Loss of consciousness, not waking up from the bed 2. Weakness in the body since 20 days 3...
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