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50year old male with abdominal distension,SOB,pedal edema

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A50 year old male farmer by occupation came with  CHIEF COMPLAINTS: ABDOMINAL DISTENSION Since5 Days SHORTNESS OF BREATH Since 5 Days B/L PEDAL EDEMA Since 5 days HOPI: Patient was apparently asymptomatic 5 days ago. An asha worker during kallavelugu programme noticed and advised him to go to hospital for yellowish discoloration of eyes 5months ago.So he went to local clinic and advised to use unknown medications for 5 days ,which he used it  for 3 days but it was not reduced. Then he went to hospital at khammam and the unknown investigations were done along with endoscopy, medications were given which he used for 5 to 6 days He used herbal medicine (aaku pasaru) for 3 days/ once a week/for 3 weeks Later he came here with complaints of yellowish discoloration of eyes and mild abdominal distension investigations were done 4 months ago n medications given which he used for 3 months All of a sudden the patient developed abdominal pain which was sudden in onset, gradually progressive assoc
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CBBLE PAJR PARTICIPATORY LEARNING ACTION RESEARCH

Title: My Journey in the General Medicine Department: A Student's Perspective (2018-2023) CBBLE PAJR PARTICIPATORY LEARNING ACTION RESEARCH DISCLAIMER  NOTE: THIS IS AN ONLINE E LOGBOOK 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 A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS INTENDING TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT Introduction: Embarking on my journey as a medical student in the General Medicine Department in 2018, I was filled with a mix of excitement, curiosity, and a deep sense of purpose. Over the course of five transformative years, I had the privilege of immersing myself in the world of medicine, witnessing the triumphs, challenges, and profound impact of healthcare on patients' lives. In this blog post, I will share a detailed account of my journey in th
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53 year old with C/O swelling of back of neck 7 years and right thigh since 5 years.

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53 year old male presented to the opd with C/O swelling of back of neck 7 years and  right thigh since 5 years. HOPI : Patient was apparently asymptomatic 7  yrs back then he developed swelling in back of neck which was insidious in onset gradually progressed  to present size. 5 years back he had H/o trauma + (?wooden stick injury)  6 months later he noticed the swelling Initially started on the right side and progressed to involve first the lateral part for 2 years then progressed to medial part of the thigh also  On prolonged activity there is a little bit increase in size of the swelling with tightening of overlying skin No pain or restriction of movements PASTILLNESS  N/K/C/O Epilepsy HTN DM CAD CVA TB Asthma  Personal history:  Normal appetite takes veg diet (non veg stopped 2 years ago).He is a garment shop owner, regular bowel habits , normal micturition , no allergies and addictions. Family History: Father has hypertension  GENERAL PHYSICAL EXAMINATION  Patient conscious cohere
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