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Diabeticketoacidosis with old mi

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  I’ve been given this case to solve in an attempt to understand the topic of “patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations, and come up with diagnosis and treatment plan K.shirisha Rollno;68 25year old male painter by occupation since 8  years came tocasuality on 7/2/23 with complaints of c/o fever,vomitings,constipation since 1 week C/ o chest pain, palpitations since 1 week C/o sob since 1week c/o neck pain History of present illness Patient was apparently asymptomatic 9 years back, Patient c/o blurring of visionin right eye for which he went to local hospital used medication eye drops(Rt>>Lt) wasn't subsided  In 2014 patient c/o severe weight loss approximately 10-12 kgs over a duration of 2 months. And having increased appetite, increased frequency of urination with these complaints he went to Local hospital and diagnosed with type 1 diabetes mellitus and sinc
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Internship assessment

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Learning points in unit: The below patient is the first day of my unit duty inthe casuality she came with dengue NS1 positive outside with thrombocytopenia in Tachyponeic state with a petechiae and intact sensorium 1)https ://60shirisha.blogspot.com/2022/12/medicine-case-discussion.html Expanded dengue:   It is a terminology developed in the who guidelines 2012 1) unusual manifestations of patients with severe organ involvement such as kidneys,brain ,liver or heart  associated with dengue infection have been increasingly reported in dengue hemorrhagic fever or in dengue patients who donot have evidence of plasma leakage. These unusual manifestations may be associated with other co morbidities,co infections, or complications of prolonged shock clubbed under the expanded dengue 2) Grades of Dengue hemorrhagic fever https://www.google.com/url?sa=t&source=web&rct=j&url=https://www.japi.org/r294b474/expanded-dengue&ved=2ahUKEwis2v25_PH8AhXIzzgGHb7JB70QFnoECAkQAQ&usg=AOvV
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