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INTERNAL ASSESSMENT-3

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  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 brief note on treatment. 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.Diagnostic criteria of pleural effusion. 5) Diagnosis and treatment of dengue fever. 6)Clinical features and diagnosis of peptic ulcer. 7) Treatment of acute pylonephritis. 8) Treatment of abdominal tuberculosis. 9) Etiology and treatment of pneumonia. 10) Complications of dialysis . 11) Asitic fluid analysis. 12) Proton pump inhibitors. 13) After load reducing agents in heart failure. 14) Treatment of urinary tract infection. 15) Differential diagnosis of fever with rash . 16) Insulin therapy in

A 48 yr old male with heart failure.

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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 solve those patient's clinical problems with collective current best evidence based inputs CHIEF COMPLAINT :- A 48 year-old man (driver by occupation)came to the hospital with complaints of : -  Bilateral Pedal edema since 1 month. Shortness of breath since one week and aggrevated at 1:30 am on 19/12/2021. Productive cough since 2-3 days.  HISTORY OF PRESENT ILLNESS:- The patient was apparently asymptomatic 1 month ago when he noticed swelling in both his legs which was gradually progressive, extending to his knees.  H /o increased shortness of breath since 1 day which aggravated to Grade 4 SOB since 2 hours from 1:30 am on 19/12/21,a/w orthopnea and PND.   H/o Productive cough since 2-3

A 70 yr old male patient with heart failure.

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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. Date of admission:-27/11/2021 CHIEF COMPLAINT:- A 70 yr old male patient farmer came to the opd with c/o : Sob since 10 days. Scrotal swelling since 12 days Generalised swelling of body since 12 days Facial puffiness since 12 days C/o constipation since 12 days (passing stools only on medication). NORMAL ROUTINE OF PATIENT:- Patient use to wake up at 5AM in the morning daily. He used to brush and have a cup of tea. He consumes breakfast around 8-9 am . He goes to farming at 10 am and work until 4pm .He takes his lunch around 1-2 pm . Then he returns home watches TV and have dinner by 7 pm and goes to sleep