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CRITICAL APPRAISAL

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 Utility of CBNAAT, Cytology and Histology in diagnosis of suspected tubercular solid lymph node Aims and Objectives:  To asses efficacy of various diagnostic tools for diagnosis of lymph node tuberculosis in solid state (non-caseating stage). Methods :  Prospective observational study over a period of 18 months Inclusion criteria :  Clinically suspected extra Pulmonary TB Suspected LNTB patients on ATT Exclusion criteria :  HIV positive patients Fluctuant node  on ATT Patients with cheesy / pus on aspiration of node. Patients :  82 patients were initially selected out of which 22 patients were excluded from the study as they are under exclusion criteria. Out of 60 patients 31 ( 51.67%) were tested positive for MTB in CBNAAT of which 2 are Rifampcin Resistant and remaining 29 patients were opted for excisional biopsy.  Remaining patients after histology had following diagnosis; Tuberculosis in eight, nonspecific reactive hyperplasia in 11, metastasis and lymphoma in four and Non Tuberc
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THESIS

Assessment of Haematological abnormalities in decompensated chronic liver disease. https://drive.google.com/file/d/12XMxwb15KzuxlSQP8B-wJEShr_BhMGmT/view?usp=drivesdk
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SHORT CASE

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  A 47 year male patient  came with chief complaints of abdominal distension and swelling of bilateral lower limbs since 6 months which is gradually increasing since 10 days and  and fever since 2 days. History of present illness Patient was apparently asymptomatic 18 months back then he noticed abdominal distension which is insidious in onset and gradually progressive in nature and subsequently noticed bilateral swelling of lower limbs , he was hospitalized for one week and took medication which increased his urine output and abdominal paracentesis was done and felt better ,, However he discontinued medicine 6 months back and presented with similar complaints where he was hospitalized and treated conservatively , he was hospitalized 3 months back again with similar complaints , again abdominal paracentesis of 1.5 to 2 lit was done. He is on medication ,  the past 10 days he noticed abdominal distension associated  with swelling of bilateral lower limbs which started at ankle and progr
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Short case

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  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 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 inputs on the comment box" A 62 yr old female, home maker by occupation presented to OPD with the   Chief complaints of -Shortness of breath on exertion since 5 days  -Bilateral lower limb swelling since  5 days  -Decreased urine output which was worsening since 5 days The above chief complaints were gradually progressive from last one year and patient had debilitating effects from last one week. HISTORY OF PRESENTING ILLNESS :  Patient was apparently asymptomatic 20 years back , was diagnosed to be
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FINAL PRACTICALS

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  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 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  inputs on the comment box is welcome. 50 year old male, working as a mason for past 25 years, who is staying away from his family to fetch a livelihood  started to experience detoriation in his health from past 5 months, where in patient developed fever, which is continuous, aggravating in evenings  associated with chills and relieved with night sweats. Patient also started having complaints of cough, which was characteristically exhaustive to the tune that patient some times use to gasp for breath. Cou
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