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General Medicine Final Practical Long Case 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 patients 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 comment box is welcome  18year old girl came with chief complaints of fever since 2months back  *joints pain since 2months back *vomitings since 2months back  *headache along with fever episodes since 2months  * pain in abdomen (diffuse)since 5days back History of present Illness  Patient was apparently asymptomatic 2months back then she developed fever following after fever subsided patient started having pain in the small joints PIP,DIP,MCP which subsided with

III - INTERNAL ASSESSMENT EXAMINATION  Date : 16/12/2021. 1.Define heart failure. Etiology and clinical features of heart failure. How do we diagnose heart failure clinically, physical examination and various modalities used in diagnosis of heart failure. Write a brife note on treatment of heart   2 Define Cirrhosis of Liver Etiopathogenesis  of cirrhosis. Write a brief note on clinical features, diagnosis  and treatment of  cirrhosis of liver? 3.Elaborate on clinical features and diagnostic modalities in diagnosis of renal calculi  4. Etiology of  pleural effusion and diagnostic criteria    of pleural effusion? 5. Diagnosis and treatment of dengue fever 6. Clinical and diagnostic features of peptic ulcer disease    8.Treatment of abdominal tuberculosis  9. Etiology and treatment of pneumonia  10.Complications of Dialysis    11. Ascitic Fluid Analysis    12. Proton Pump Inhibitors  13  Afterload Reducing agents in heart failure  14.Treatment of Urinary Tract Infections  15 Differential

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 patients 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 comment box is welcome  A 26 year old male patient came to casuality with c/o SOB Since 2 days, cough and fever since 2 days History of present illness : Patient was apparently asymptomatic 2 days back following he then developed SOB  initially grade 2  now progressed to grade 4 associated with cough, non productive not associated with blood. fever since 2 days  He’s third born child with normal vaginal delivery with meconium aspiration and was diagnosed to be dextrocardia on 4th day of delivery as he wa