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General medicine case_3

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     This is an online E log platform to discuss our patient's de-identified health data shared after taking his/her/guardian's signed crinformed consent. I have been given this case in order to solve in an attempt to understand the topic of patient's clinical data analysis to develop my competency in reading and comprehending clinical data and come up with a diagnosis and treatment plan. AMC BED2 45 year oldfemale Patient came to the causality  with the cheif complaints of SHORTNESS OF BREATH (GRADE 2- GRADE 3), according to NYHA CLASSIFICATION. ASSOCIATED WITH ORTHOPNEA /PND SINCE 15DAYS. History of present illness C/O FEVER WITH CHILLS AND RIGORS SINCE 15DAYS. No diurnal variation. Subsided on taking medication. Past history Not a k/c/o HTN, DM, ASTHMA, TB, EPILEPSY, THYROID. No similar complaints in the past. No significant family history. Personal history: Takes mixed diet Normal appetite Adequate sleep Regular bowel and bladder movements. No known allergies. Not an al

Internal assessment-2

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 10.ASCITIS                                                                                                 9.HEART FAILURE        7.RHEUMATOID ARTHRITIS      6.CARDIOGENIC PULMONARY EDEMA          3.Dengue fever and clinical features and complications.                                                        11.pyrexia of unknown origin.           12.Drug induced liver injury                            13.Evaluation of low back ache.     14.renal artery stenosis.             15.Acute kidney injury                                   20.iron deficiency anemia