General medicine 1st internal assessment

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45 yr old with paraparesis

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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! * This is an ongoing case. I am in the process of updating and editing this ELOG as and when required. A 65 yr old female patient came to OPD with complaints of shortness of breath since 15 days and abdominal swelling since 13 days . HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 20 days back when she developed high grade fever and decreased urine output which lasted for 5 days after taking medicine. She was asymptomatic for 4 days . Then
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