https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4556923/

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26 year old female with complaints of altered sensorium somce 1 day,headache since 8 days,fever and vomitings since 4 days,

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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 comments   A 26 year old female who is a mother of two children, a tailor and agricultural labourer got married 10 yrs back  After 1yr she had male child of 10 yrs age  and on 2 nd yr of her marriage she had female child of 8 yrs age.   In (2014 ) 6 yrs back she had bilateral hands small joint pains,later to elbow and shoulder  for which she used medication prescribed by a local medical shop  for 10 days,  (2017)3 years back,then she developed multiple joint pains sh...
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55M with abdominal distention since 15 days,hiccoughs since 3 days.

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A 55 year old male who is a toddy collector by occupation, resident of ananthagiri came with cheif complaints of abdominal distention since 15 days,pain in the interscapular region aggravated by coughing. Hiccoughs since 3 days,continuous,not releived on taking medication. H/O 2 episodes of seizures H/O altered sensorium on presentation to hospital. Vomitings on taking food, patient has not been taking food due to this complaint. Patient was normal 3 years back then he had    right sided femoral hernia surgery. He developed hypertension 3 years back but did not take anty medication for 1 year. Known case of CKD-diagnosed in ESI hospital (Then the patient had chief complaints of swelling of feet and facial puffiness) Patient on maintenance hemodialysis since 2 years. Patient  is dialysed every week. Last dialysis was done 3 weeks back. Alcohlic since 38 years,drinks toddy everyday after collecting toddy,stopped drinking after starting dialysis.(2 years back).  Known H...
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Bimonthly internal assessment for the month of January

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