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General medicine

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Case : Acute kidney injury 45 year old female came to casuality with chief complaints of vomitings, nasuea. Complaints and duration: Patient was apparently normal 4 years back then she developed burning micturition,pedal edema,right loin pain for which she visited local hospital and diagnosed with right renal calculi(2-3cms)   pyelonephritis then reffered to NIMS in nims patient underwent right nephrectomy in 2018 since then patient had no complaints. History of present illness: Since 10-15 days patient had nausea and vomitings  epigastric discomfort,4-5 episodes of vomitings Small quantity food particles as contents. No blood in vomiting. No history of fever. History of past illness: Right nephrectomy in 2018 HISTORY OF TREATMENT :. -Diabetes: No --Hypertension: No -CAD:No --Asthma: No -Tuberculosis: No --Antibiotics: No -hormones: No Personal history: •marital status - married • occupation- -farmer •appetite- -lost • Bowels- -regular • micturition- -abnormal • known all...
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General Medicine(1)

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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. Case: Chronic osteomyelitis 34 year old male came to casualty with cheif complaints of abdominal pain with swelling and right ankle pain, swelling COMPLAINTS AND DURATION: patient cause of pain and swling in right ankle since 4 months . History of swelling and discharge since 3 months. Substained injury due to road traffic accident 6months back. Substain the grade 3 B operation with phayngeal and talar dislocation. Patient now with cause of pain and swelling in the right ankle since 3 days. No history of other comorbiditis. No history of diabetes mellitus and hypertension. History of present illness: On exam...
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