2nd internal assessment exam answer sheet



















 

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27 year old male with chief complaints of headache and dizziness

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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 solveb 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 is welcome. A 27 year old male who works in printing press came to hospital with chief complaints of: Headache since 4 years Syncopal attack since 4 years ,last episode was 10 days ago. HOPI: Patient was apparently asymptomatic 4years back then he developed headache which is sudden in onset,gradually progressed in occipital region to neck not associated with nausea and vomitings it aggrevated by lifting heavyweights and climbing stairs and relieved spontaneously. Syncopal attack w...
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32 year old male with pleura effusion secondary to tuberculosis.

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Chief complaints: Fever since 1 week  Stomach pain at right side since 1 week HOPI Patient was apparently asymptomatic 1 week back then he developed fever which is sudden in onset ,continous,gradually progressive associated with chills and rigors,evening rise of temperature was present with night sweats.no aggregating factors ,temporarily relieved by medication  Patient also complained of abdpmen pain since 1 week in right hypochondriac,rt.lumbar,umbilicus region aggrevated on inspiration and relieved by rest H/O cough since 3 days ,insidious in onset,non productive type,non blood stained,non foul smelling No h/o post nasal drip,cold,hoarseness of voice,noseblock No h/o dyspnea,chestpain,palpitations No h/0 PND,orthopnoea No h/o nausea vomiting,abdominal distension,constipation,loose stools Past history  H/o admission in hospital due to same complaints  Not a K/C/O DM,HTN,TB,asthma,CAD,thyroid disorder  PERSONAL HISTORY: Mixed diet Adequate sleep Regular bowel a...
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