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20 yr girl with b/l pedal edema

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 This is an E log book to discuss our patient's de-identified health data shared after taking his 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 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 comments in comment box are most welcomed  I have been given this case to solve in an attempt to understand the topic of  "Patient clinical data analysis"  to develop my competency i reading and comprehending clinical data including history, clinical findings, investigations and come up with a diagnosis and treatment plan A pavan kumar  1701006011 Presentation  https://youtu.be/GFASTNR78Ng 20 year female came to casualty with chief complaints of  -Hyperpigmented macules since 15 days -b/l pedal edema since 15 days 
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19 year old female with fever since 1week

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 This is an E log book to discuss our patient's de-identified health data shared after taking his 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 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 comments in comment box are most welcomed  I have been given this case to solve in an attempt to understand the topic of  "Patient clinical data analysis"  to develop my competency i reading and comprehending clinical data including history, clinical findings, investigations and come up with a diagnosis and treatment plan Previous admission http://anushaboda189.blogspot.com/2022/02/this-is-online-e-log-book-to-discuss.html 1701006011 A pavan kumar  19 yr old female came with the chief complaints of  1) fever since
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INTERN ONLINE ASSESSMENT- GENERAL MEDICINE

 DURING UNIT DAYS  CASE 1  https://08arshewarpavankumar.blogspot.com/2022/09/20-yr-female-with-bl-pedal-edema.html Presentation for this case  https://youtu.be/GFASTNR78Ng My orientation around the case  1)What is possible cause of her pedal edema ..??  Renal impairment or low output states (cardiac failure ) or acute tubular atrophy  2)What are the differential diagnosis of the patient ?? Nephrotic syndrome more probably poststreptococcal glomerulonephritis , minimal change disease , LUPUS NEPHRITIS , VASCULITIS, infective endocarditis, libman sach endocarditis , igA nephropathy  3)What is cause of cough and SOB ??  -Due to glomerular injury renal filtration is compromised and there is accumulation of fluid in third space leading to ascitis pleural effusion and pericardial effusion  -Due to pleural and pericardial effusion there is a SOB  4) what is determining  factor to prove the fluid is exudative or transudative .? -SAAG >1.1 indicates high saag transudative fluid which it occu
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