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20 F with pyrexia under evaluation with Thrombocytopenia

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This is online E log book to discuss out patients 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 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 comments box is welcome . Note: The cases have been shared after taking consent from the patient/guardian. All names and other identifiers have been removed to secure and respect the privacy of the patient and the family. Consent: An informed consent has been taken from the patient in the presence of the family attenders and other witnesses as well and the document has been conserved securely for future references. Dr. Sarbesh Mishra Roll no.: 142 1. COMPLAINTS AND DURATION: 20 year old female came with complaints of  fever since
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Reflection on Internship Experience - Department of General Medicine

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As I reflect upon my enriching internship experience in the Department of General Medicine at Kim's narketpally , I am compelled to share the transformative journey that has solidified my passion for becoming a physician. Throughout this internship, I have been privileged to witness the complexities, challenges, and rewards of medical practice, shaping my aspirations and reaffirming my commitment to this noble profession. **Internship Overview:** **1. Diverse Clinical Exposure:** My time in the Department of General Medicine provided a comprehensive exposure to a diverse range of medical cases. From acute illnesses to chronic conditions, I actively participated in patient evaluations, diagnoses, and treatment plans. Each encounter presented a unique learning opportunity, fostering the development of my clinical acumen. **2. Patient-Centric Approach:** My interactions with patients were characterized by empathy, compassion, and a genuine desire to alleviate their suffering. The abil
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54 F came with Diabetes for 3 years, weight loss of 8 to 10kgs in a year b/l tingling sensation in upper and lower limbs

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 This is online E log book to discuss out patients 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 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 comments box is welcome . Note: The cases have been shared after taking consent from the patient/guardian. All names and other identifiers have been removed to secure and respect the privacy of the patient and the family. Consent: An informed consent has been taken from the patient in the presence of the family attenders and other witnesses as well and the document has been conserved securely for future references. Dr. Sarbesh Mishra Roll no.: 142 54 year old female came with c/o Diabetes for 3 years, weight loss of 8 to 10kgs i
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42 M with alcohol withdrawal seizures with alcoholic liver disease

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This is online E log book to discuss out patients 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 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 comments box is welcome . Note: The cases have been shared after taking consent from the patient/guardian. All names and other identifiers have been removed to secure and respect the privacy of the patient and the family. Consent: An informed consent has been taken from the patient in the presence of the family attenders and other witnesses as well and the document has been conserved securely for future references. Dr. Sarbesh Mishra Roll no.: 142 This is the case of a 42 year old male, farmer by occupation and a resident of nalg
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64 year old male with burning micturition, polyuria and lower backache

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This is online E log book to discuss out patients 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 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 comments box is welcome . Note: The cases have been shared after taking consent from the patient/guardian. All names and other identifiers have been removed to secure and respect the privacy of the patient and the family. Consent: An informed consent has been taken from the patient in the presence of the family attenders and other witnesses as well and the document has been conserved securely for future references. 1. COMPLAINTS AND DURATION 64 year old male daily wage labourer from Thirumalagiri came with complaints of  -Pain in
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