General medicine monthly assignment

 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      CHEIF COMPLAINTS: c/o pain Abdomen since 2 days  HOPI: Patient was apparently asymptomatic 2days back then developed pain over the left hypochondriac region since 2 days radiating to the right hypochondriac region  C/o vomiting since yesterday ,3 episodes watery in consistency ,non-blood stained,non foul smelling No c/o fever , decreased urine output ,loose stools H/o Burning micturition since 2 days  C/o SOB , palpitations, orthopnea,pnd  PAST HISTORY: Not a known case of HTN,DM,Asthma,Epilepsy. PERSONAL HISTORY:  Diet - Mixed Appatite - Normal Sleep - Normal Bowel and Bladder -Regular. Allergy - None Add

 This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's  consent. This E log book also reflects my patient-centered online learning portfolio and your valuable inputs in the comment box below. An informed consent has been taken from the patient in the presence of the family attenders and other witnesses as well and the document has been conserved securely for future references.  A 80 year old female, currently not working (used to be farmer by occupation),resident of Haliya was referred to medicine department from general surgery with  complaints of low haemoglobin level. HISTORY OF PRESENTING ILLNESS Patient was apparently asymptomatic 2 months ago then she  developed a swelling in perianal region that was in size of a coin which was insidious in onset and gradually progressive associated with fever. The swelling was ruptured 15 days back and is associated with discharge.It is associated with dull aching pain.She

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