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16yr/f with pancytopenia & fever under evaluation

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  16yr/f with pancytopenia & fever under evaluation 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 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-centred online learning portfolio and your valuable inputs on the comment box is welcome."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 a diagnosis and treatment plan 16 years old female studying 10th class came with the complaints of fever since 10 days ,  SOB  since one week,   vomiting since 2 day...
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case history

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CASE HISTORY March 11,2022 March 08,2022 "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 patients clinical problems with collective current based inputs. CHEIF COMPLAINT: 22Y/F  and dayworker by occupation came to OPD with pain in Right upper abdomen since 2 months with history of vomiting and constipation  HISTORY OF PRESENT ILLNESS: Patient was apparently assymptomatic two months ago after she developed pain in right upper portion of abdomen ,sudden and intensifting pain ,and vomitings  after food intake i.e food as content relived after taking medication c/o mild pain in upper abdomen intermittent ,radiating to upper back c/o hard stools. HISTORY OF PAST ILLNESS: No H/O similar complaints in the past H/O cardiac surger...
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