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PERNICIOUS ANAEMIA AND FEVER

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This is online E- blog ,to discuss out patient de-identified health data shared after taking her guardian's signed informed consent. Here we discuss our individual patient problems through series of inputs from available global online community of experts with an aim to solve the patients clinical problem with current best evidence based input. This E- blog also reflects my patient's centred online learning portfolio. I have been given This case to solve in ab attempt to understand the topic of "Patient Clinical Data Analysis " to develop my competency in reading and comprehending clinical data including history clinical findings,investigations and come up with a diagnosis and treatment plan. CHIEF COMPLAINTS: Patient complains of pain in the abdomen after having food since 3 days HISTORY OF PRESENT ILLNESS: A patient came to OPD with the complaint of pain abdomen at left hypochondral region  6 hours after having  food,relieved after taking medication for pain. Incide
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URINARY TRACT INFECTION

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CHIEF COMPLAINTS: A 39 YR OLD MALE PATIENT CAME TO THE OPD WITH COMPLAINTS OF FEVER SORE THROAT   DECREASED APPETITE  BREATHELESSNESS SINCE 4 DAYS HISTORY OF PRESENT ILLNESS:  PATIENT WAS APPARENTLY ASYMPTOMATIC 4 DAYS BACK HE DEVELOPED FEVER WHICH WAS INSIDIOUS IN ONSET INTERMITTENT TYPE WITH CHILLS HISTORY OF PAST ILLNESS:  PATIENT HAD A LIVER RUPTURE 5 YRS BACK AND  PATIENT UNDERWENT APPENDICECTOMY MEDICAL HISTORY: PATIENT HAS DIABETES MELLITUS  HYPERTENSION   PHYSICAL EXAMINATION: NO PALLOR ICTERUS CYANOSIS LYMPHADENOPATHY CLUBBING OEDEMA  MILD DEHYDRATION  VITALS: TEMPERATURE: 98.4°F PULSE : 88 /MIN RESPIRATORY RATE: 16 /MIN BP: 1O0/70 SYSTEMIC EXAMINATION: CVS  NO THRILLS, MURMURS  RESPIRATORY SYSTEM  NO DYSPNOEA WHEEZE   POSITION OF TRACHEA : CENTRAL  BREATH SOUNDS : VESICULAR INVESTIGATIONS : PROVISIONAL DIAGNOSIS:  URINARY TRACT INFECTION  TREATME
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