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A 30 year old female follow up patient with cough and dyspnoea

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Arushi kumari Roll no. 151 This is an elog documenting the patients that I witness during my Clinical Postings to enforce a greater patient centered learning and  I shall be presenting this case for my Prefinal Practical Examintation.    DEIDENTIFICATION :   The privacy of the patient is being entirely conserved. No identifiers shall be revealed  through out the piece of work whatsoever. CONSENT  : An informed consent has been taken from the patient in the presence of the family attenders and other witnesses as well and the document has been conserved securely for future references.  ACKNOWLEDGMENT   I convey my regards to Dr.Simran Ma'am ( Intern ) , Dr.Nikitha Ma'am ( Intern ) , Dr. Sai Charan Sir ( Resident ,General Medicine ) for helping me ,and guiding me about the case, when the patient came to us 2 months back and also now. I have taken certain inputs from the elog about this same patient which had been prepared in the past ( link attached herein ) The link to a e log ma