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Showing posts from March, 2022

48 year old female with multiple system involvement

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  internal medicine post graduation 48 YEAR OLD WOMEN WITH MULTI-SYSTEM INVOLVEMENT. March 21, 2022   CBBLE UDHC SIMILAR CASES 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. This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box . 48 year old female , resident of Hyderabad and home -maker by occupation, presented to casualty on 14/3/22 with complaints of , shortness of breath   since 1 week  - initially grade -2 later progressed to grade 4 . pedal edema  and   chest tightness   generalised weakness  and  fatigue and frequent falls   difficulty opening mouth  and  oral ulcers  since 1