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A case of 48 yr old male with UNCONTROLLED SUGARs n FEVER UNDER EVALUATION

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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 comment box A 48 yr old male  welder by occupation came with complaints of  FEVER since 4 days C/O chest pain since 5 days  Pt was apparently asympyomatic 4 days back then developed fever ,intermittent,associated with chills and rigors ,no burning micturition Chest pain on n off ,non radiating Pt was k/C/o DM since 4 yrs on inj Mixtard Pt was havi g complaints of weight loss, fever 4 yrs ago and diagnosed with pulmonary kochs and used ATT for 6 months After using ATT for 2 months pt had 1 episod
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medicine case study

Present condition  The patient..  falls frequently to the left. Her left foot and hand started to worsen. She has  Rashes on face around 2 to 4 episodes per year . Developed swelling, hair loss and fatigue. She has left jaw pain radiating to the face. She has dyspnea, oliguria .develops swelling when ingesting most of the foods, or smoke.Finds herself to be slim morning and appears to be a pregnant in the noon.  Develops weakness on exertion. Craves for salt . Ingests 2-4 tbs of salt when she feels sick.  EVALUATION OF THE SYMPTOMS: Swelling and breathing difficulties: -swelling which is the main complaint can be due to her having g6pd deficiency which causes hemolysis n in turn causes congestive heart failure nd shortness of breath. She might have developed kidney failure leading to the swelling due to the oxidative stress...g6pd is an enzyme that catalyzes the rate limiting step in penrose phosphate pathway n produces NADPH which in turn produces glutathione that prevents oxidative s
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A 70 YR OLD MALE WITH LIVER ABSCESS

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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 comment box patient came with complaints pain abdomen since 2 days Fever since 10 days And dribbling of urine since 10 days Patient was apparently asymptomatic 3 yrs back then he developed low grade fever for days following swelling for scrotum for 3 days insidious and then he went to surgeon ,for which intervention was done later he developed 1 week back insidious and low grade for initial 5 days for which he went local RMP ,fever was not relieved and fever increased from past days which is hig
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