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prefinal exam bds

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55 yr male with pedal edema and facial puffiness

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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 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.   A 55 yr old male patient presented to Opd with cheifcomplaints of pedal edema and facial puffiness.   History of present illness :       Patient was apparently asymptomatic 3 yrs back then he has paralysis and then later he recovered .     Then 4  months back he noticed pedal edema And visited nearby hospital and given symptomatic treatment and diagnosed with diabetes and hypertension and kidney problem.    But pedal edema not subsided on symptomatic treatment and then they came to our hospital. And he was put on dialysis  twice a week.     ...

51 yr old male with pedal edema and facial puffiness

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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 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.   A 51 yr old male patient presented to Opd with cheifcomplaints of pedal edema and facial puffiness since 2 months.   History of present illness :       Patient was apparently asymptomatic 1 yr back then he developed pedal edema and facial puffiness for which he visited hospital and diagnosed as renal dysfunction and he was on medication and dialysis also done once and symptoms subsided . Then he stopped using medications and symptoms recurred and then   he  visited our hospital and investigations are done and diagnosed as chronic kidney failure.And kept on maintenanc...

internal assessment

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 1.Anatomical  and  etiological localisation of hemiparesis and it's further management ? 2. Etiology pathogenesis  clinical features management and complications of pancreatitis?  3. Dengue fever clinical features and complications   ?   4. Cushing syndrome ?    5. Mandibular advancement device? Not attempted 6. Pulmonary edema?  7.  Rheumatoid arthritis ?    8.  Leptospirosis? 9.  Heart failure? 10 . Ascites? 11.pyrexia of unknown origin ?  12. Drug induced liver failure?  13 . Evaluation of lower back pain? 14. Renal artery stenosis?     15. Acute kidney injury? 16. Oral hypoglycemic agent 17.  Microvascular and macrovascular complications of diabetes? 18.Lights criteria  Not attempted 19. Metabolic acidosis 20. Iron deficiency anemia