General medicine 1st internal assessment

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65 yr old with acute on chronic kidney disease

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65yr old with ascites

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E-LOGS GENERAL MEDICINE   Roll no 04  Hi, i am lasya, 5th Sem Medical Student. This is an online e-log book to discuss our patient's health data shared after taking his/her/guardian's consent. This also reflects patients centered care and online learning portfolio. 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 patients clinical problems with collective current best evidence based inputs. Hope this will be informative! A 45yr old female patient came to casualty with chief complaints of nausea and  vomitings since 15 days. HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 4 yrs back , when she developed burning micturition , pedal oedema , rt. Loin pain for which she visited local hospital and was diagnosed with rt.renal calculi (2.3cms) associated with pyelonephritis , they are then referred to nims where she underwent nephrectomy in 2018. Since then she ...
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