PREFINAL EXAMINATION PAPER 1

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65 YEARS OLD FEMALE WITH SYNCOPE .

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Siddam sushmitha This is an online e log book to discuss our patient's de-identified health data shared after taking his/her/guardians' signed informed consent. This Elog reflects my patient-centered online learning portfolio. This is the case of a 65 years old lady housewife, resident of Chinatunalgudam. The patient presented to the casualty on Thrusday (30/11/2023) after episode of loss of consciousness .  Patient was apparently asymptomatic two days ago , then she had an episode of syncope  , associated with sweating , and after walking for a longer period of time .  Not associated with palpitation , flushing , chest pain , muscle weakness , slurring of speech, headache  .  The patient was brought to the casualty and given medication and recovered completely  . 6 days ago - History of chest pain  which was  sudden in onset , in the centre of chest , squeezing type , non progressive , not radiating and with shortness of breath following exertion , which were both relieved on
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18 year old female with FEVER AND POLYARTHRITIS

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February 2,2022 18 year old female with FEVER and POLYARTHRITIS.  A 18 year old female presented to the OPD with cheif complaints of FEVER  2 months back  , after which fever  was subsided, and there was pain in the small joints PIP, DIP, MCP etc , vomitings  2 months back for 1 week, headache along with fever episodes since 2 months  , pain in abdomen since 20 days HISTORY OF PRESENTING ILLNESS  Patient was apparently asymptomatic 2 months back then she developed fever, following which fever was subsided and the patient started having pain in the small joints PIPI,DIP,MCP joints,subsided with medication and relapsed after stopping medication. Now she has fever with multiple joint pains ( small joints of hands,elbow,shoulder,) .Patient had history of migratory polyarthritis ,history of dragging type of pain in the both lower limbs. ( Ankles and joints of foot are spared). History  of  decreased appetite since 2 months  ,history of pain abdomen (spasmodic type) since yesterday.  History
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