medicine .

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1. Clinical History: 50 yr old Matha ere

a wir complica of by “4 come meta
tod delatan fe pue ei Fr put 2 roars

Wel: Breathleines “anacdiour

prouve "un lara present tal ot td eut
Sud aut : mes

fat We th Grane pa rhéumial boy ando It
TES ent Mo,
Ne Mpufant family or ne Ho. oy .
G thin conti, onealed Le Hive, plece $ Penon Willi: Tan: ofebite file weten
cgay ad hn aie rl wc sme et ole
Ada: Je 1b brett Ian, Fur: Not den Sos: 251
Gym Gamminahin® 24 nca in mène „april empleo. net con la
nn Pare me D ne. Anne Moral ma. Sd, Nom, À
fou plod md ae murmmar of grade bed wit the hell Be dE
Mien pod ma date Gon rior sans nid desis no

> e Are hed ae Y im

À
Diagnosis of ogy té atrial filos

Summary of Discussion: fase

Diarias
Pata blecees

= Blond sugar dut, pd

2. tory: À 40 yr ole male palfont , Cl
‘Truthungods, Come with 4

ui Fey te

et & Inbaanittont type, ar en ee N
cltews, purulent , false , , more In más
E eN 29 Breathtusnen for a duration of 1 A
2, Notuthepnon, PND. past HO: ee
toud-19. Woon el aan noduptde: a soy
Net Foal Rone. en Annaab Ye ee het dj
exar fous, ovfented . sent , No SL No!
big. pruenl-énade à wur a ma L us > a

2: lelmin Bro 90, 977
Fyn aan demon" ur. Norm ¿1er Troan lv ; ait wall
on both du Pasemos Tradu - nde Apel ge leg st
judi > Posie ine das moons nue Cal cxponton 15 nt
locas. eritut Brera ya. int, 4 Too Sopulos- REREUSUON: Ruorland Tn
ctr © al Prat ‘cals de al regions - did Sound ss
4 Fray reo on, bo ss, exa oro
yn _both sie

‘Treatment :
spa el Oa + Paglotiepy Postural ho

+ Sputum culture sea M

+ Cane my ln replacement

+ mer + Ant Hurapı “py

#feno tet * Pseudomonas © Oral OPROFJOXACIN
+ Brerchottopy P- lactam - Pıprrculin- TAZOBACTAIT

+ Sunka) Deotmunt

neuen of iind aus 9 Lys

3. Initial of Facilitator

VIA UR ad emer into paresis

Emo À A4 Yeon MA finale ME by water, from
ne to PO win CUE mp o ef WRAL an ro
igor: Side Mime For past le yore. agi = Ming fon Ma

fos fe foe whale the war MU for 3 otek guar otro
ap Westone EMOL u uo ın onen, er

en RAMU, FACE AYE NO Mo Gray USE. Ne y pa
rae à So ge Y mn Dar en rod

N Spain TUS ule” mu urd dur, owe and Sleds mi

nal. Normal Sp postin QE: Paros e encre and ann

MD. MAUR PA , Ne pecie, MNEs tomen „an: Bolt MAM]

Tae fein, MVC CAE ergo à PE ve had. mo mist,

que nomma; An cramat nave emo ou coma, due € nt

ede MAUR à e » mobi! @rduud im

ne appt avé WWE me, OPI ercer

DA Iso Y rl, cas tak mal Me eu Of ont

at eat fyicuns Git: sits ul mas es ta VA

van sun ward Allman e ergantmegaly

an wine dd ROME
Diagnosis ca Note mus, smote in eistam

Summary of Discussion:

comio
insamganon + w meme
cee > we wet nissan
ocd sugar Was Le mis |

gid pmide

een, ea

ex at af on

el

A ee
LI

4. Clinical History: A Tejera nd bite My Detenciones ver tj exw pasa
Kern sr la tomarnos tee medians ER with pre pl

y Aaa eg OU fa pus ee HOLL. pa Pret] @

bajo se date neat 6 remote on mat deg money ar Som mie
eats op durs chiot ring © weil weed À alas mou
pense Doha ‚nt O o eaten
wing, Potting atera» Semen] Re Hla A
cong tt end, nie Y as Cria amet al en EDS tn,
Tice mat ane pul E Pam tos] > Nan porel Mac en
taa 3 meter sentent mined wet | GLE donnent vrvntrd Mit re
ieee a be of RE Me br mi Me dre à horde |
AN A ghee But «Tore A, er
TAC EN. jun anti yp ne m Ordens pat + pic
nen RA © „Ne nait seutmen, Gat heating get
En te CAS Eby bear Pa mn „Ag Everton Ak ted
AE BE ZE
Diagnosis 20924 ele wth Ohad pa pri

comi be hang abet

ice ae eee 7
‘Summary of Discussion:
ae ie
vestigs Tester
DT eee eel
el pe tee pad eens plume
propia tere tepleee Aepnie
a. = nabos medial
OLS zi hen
= tamtid doppler Arnplereun 1
pen,

5. Initia of Facilitator

Asche 6lemsis

Clinical History: À 76 Y1 dd role Mr. SR voting ‘a Bede ne
fownd- 09 a peering Conan { chat pain fos months & Bre loans
Le vifs + jo Proein ias - Chain, saden oat} il dungen Ahr
leach epsado Lat for 2-aning wit Pe o ME
Pazvakd en Prob Lama - vas), Alive al Rest : Brotiisnass for Umer
bases in cul E pegsossive insta » À e on Evethon (hv Cs
peach „ Rast Mfg Mo 2m

Raid ai Rest + No Hl sPapitehon, eut

Het pa Ken cn fra rae fe pat de a ne nn

Ba, Brand Sana nb: inc GENERAL of, Pibe pesas
mf o lar apt We Mola «1 me

ee 30-07. pe 110008/ min > 05 Tagan so alnmmabhen Sen. à
has hur beat al 15 $8308 Wn abel > Bit ner

Hic phase «ho if Le enn = sha Sued on
ue Mo Mantua, à Jo forlic Pea. ve Far

Re 2 sts radiating do Re Grohl af SIN a aie lam
lía Spr ne alta 3 a”

Fa Roane er valla Hand Lane pi

cab, Srs:
— eee Ep so Sins ty
Trashgahon The) Ku wmabhhes
a Sul
Fi
Ecq Aoihic velc Pelucas! à
poe © due Anhe he Rp”
es O Tente Aare Valve
Tepbament

© Ballon Make valley

6. Initial of Facilitator

ina Histo AD gra, el, Pomel ello
Saropaleypen , zum apte Come to OVD wi
plain © E

5

pe q à mark which is
Wu” uno allein denn ade PET ag
epee a a ai A den tone

Same, Me > Min nat Pie:

Diagnosis Pr tate fe rt caw Te ahi dut

Summary of Discussion: Hess 2
Fritos
aoa
21172 an ee
KU, RET
x Diskus
an AS hacken
4 56,
4 lactuleu

A opor

Kam
Kongo profe

7. Fuste ek OVA AIRE urren
Limb monope rests

Clinical History: À Se year SLA gemalt, LeYourer

Wy geeupalien ; known cose of hyper tenso
A nl
come ko medicine 0r0 vich rresentiny
Kompieines of wecbness in night upper Limo,
Eyoddincss yon ruse Lacy motor ss
Asgrteutey in niseng min wren Lm stove
nec a comuin; RUE en -G, Fase niskory- rase &
PERS hypentensive Without medicntion 41%.

consigo onéented, anemia pnesene. motor,
Lee) roer, Cone O belen O cenevettum -—
SERAN system NS 91,34 ALGA, Ro mia,

RG-vesteulen vnenuh sounds » 423 -@

WORSE OF ATE AREA RES DESEADO WEIN A |
Diagnosis Seren como monornnesie + PROBAGLy OVE TO Lmeouze 31404}

Drecemene

Teer
N eel Tu
una une]
wee SR, BESTEN
se RS Pate ay evmorwemes
rnek -Andovascular mecha
Les -4t% nécet eh RomuELES my
core: wehbe
cos pumse wegbted unenery

pan bieo ey lante.
Leunoged werten ’ ~

8. Astier Mis Molakal? . 63 yess dd

Elogmpalgom come do boorclegy oro ytth do coh ath

aclara ar fer 18 yeast “and, veathlessness Lor 15 eat
lg nds fm omal proguasive In nahe Öduuakton . ons o] jas

Sut d'un vastalor y Expedia: Goes 25 mida, ar
usted Zn nofate y Beeathkasnes rss , past In nue rae
gol 3 : We loss a) weight. Hjo Ka CES
Pulp ve Seas Inia fn ig byratdlim Jos 5
de la unde medteatfon GE Late. und AceLe cms
Welse normal 3 Inspaon , farmasfon » Peteussion > Nosmal
Mahl, Nom voller buch sounds Mund. ploy
coplas, Rad over RUM hposopulu Aegfen Mac ame
Roel; Cvs, ens, Gl Normal

RNA RT
ls
Diagnosis ln EN silo ony comple + Compara: Mog fat

Summary of Discussion:

folks [Agtlhonyer]

À Spb stos totheupy [ poshaal
a E Lea a ed)
> WRev*

2 Suateol LPalmonsey sesion)
> Paleo Jardin lol ic

9. Initial of Facilitator

+ di

Objective of A
Session

Clinical History: À 32 yee Aj Mele» Mr. Mamivaman rom Rauipuam
whe ty wot Nour cate a) codos Beate (TOP) come E sgales
heros Palta „un aynphnaie A 10 years. ge Rh x
Auloped polptlolion q cosa 4 Buahasness q Sye class 2 (ay
Insidfovs onset, propio in phase, pts on exalon ,
aefeved by sal + medicion ass cabo seno fo leu a]
slap ond apple, 2 gore Gest Mio: He has complaints Lalo
10 tes And E to hoc cute dsense + pascäled mu drcalions
Family vis Mb simfles complot in fes gtchs GE: conéiour ontenled
Pulse“ alero bp hallen fugue) tele volume: vastable RR: 33 La
mr he En ee. ar o rode 3 à
Cus Exomtretfon > hapuhon, Racaona tl , pot: Paschanal Reve +
ae Re ane Tia saree Rd cute 5453 Peu

BP mid gate moma

205, 85,41 Hosen
Ae oh con pent Fal jon culte dea ath fealue ol
a RR, Pomo HTA Etsenmetge’s See 2
‘Summary of Discussion:
\nwes gation Tiedt

> Oe (rte, mens > Pheledstormy

abt | ment y > Vasod'lols
x pt > Erdothele semplor enter
» Eto

¿Edo

10. Objective of
Session

Clinical History: A en Weer dB rois Ms” 3
ma le madiors OF o I EL ha
Sscdtnrs u Les Goan For Teak A
AE pr, Pree Conde 24, GNSS, boven erin te Goth
A A On neat, master hi
A QUAYNCT) ASAIO caen. WoW ls Suis,
A «POM Mes: ENC Jo atiatat
Va Bs Gree as yea, Klee BTS A Go ee te
Le galisa, Wea, Ear, edil ele Phrase de ea or =
ab creara of dad. 100 Ween E, SA > VAR nomad!
cc Re ida bretee ER Ele nde iia: PSA
ARE CONS, patgedion, Persien Fr panne DS
portramen: Sy, hand. À Lect Grad crarcents Area de
A ande 2), had LA doi Y leerlo
nod er ee
nd named Ge" SIEVE Somers teas Adan nu da
[pine RSS er SR el Beas
Diagnosis A =
gnosis tae SSE Re TTS

‘Summary of Discussion:

feneSheetion Arendt

re Vpeahla Unes’ Bed va, SUB Westie,
Charney És

ECHO, 04 dentuneden

ECO

O Loop + KE Sync
Calo Rs

Acts nee | Arz

Mayor dic) ra a ota
SG LR TAM

105

11. Initial of Facilitator

Objective of

Session CARONIC OBSTRUCTINE PULMONARY DISEASE

Clinical History: An 80 eat old male, armor boy octupotión.
e With complaint cf Brecthlesanen fore pat S months,
Hops Cash with expectorichion tor 2 mentir]
Patient was neural S moms back, wher he noticad
brecthlessnen + te was indidiour in ons, a paire.
CMMRC Grade 1 — Girade 3), Not amecioted with where, ofthoprea, Prt

No Hlo. chest pain, palpiradions , by avd, de diusnel variation

aos with en Ea ds, insidious in oral,
Li | white, mucotd, not foul soul
i Llcod lo ca aici No Hlo, Anar y Severo

PAST HiSTORY:= ney age FA son mudiction Piso,

Examinadora Tnsfacnon, Tache ops Jo midline, dd rap!
e beta gut Val Pas Cll Y aoa
Prcausiion RARES

favolvér k ¡ma fable
A cate % ining, Sl pidan pl
DES bron Sud

Summary of Discussion: MANAGEMENT

TRestminTo
Anvesmunnons: y
Completa Blood court Cheneal » Smoking cessation
Avotd door airpallulfan
Cheat x-nay u
Rulmanasıg gurction eat Gen rbolinogiaz
Ecm, Echo Tarapich (aos me
Ret Pao! Cobra tia

— Inhaled corticorturolde
= PDEA inhibiton.

La. |
[AN lia)
Se ri Dee

ll astas

12. Clinical History :

(rion,
Paume, No le dera:

pie dd pe.

fom Hema AT howd
a Heart due de
oreded , NO PACLE

AS dd female Mat. Late, iting trom prembalur
Pasta wt copla A tnent ilnnery
yay two) A and les alce montre pumutcted win,
nut dico.

alo palpitation, Orthepmen + Pe

on waqular medica n
ray

du, No Var well 46
RE te valo vaio] rad à

“BP. nom
[Tonp: Afébile . CUS écanhuntion 2 zu, El
Aube. y Mabel loud Si, id
952 hend. iaa rd an

Aimee mumun, Sa me
75152 hard, ulmounz aus

«Alkfao tw, DMB for os, Heu cared

Blin — normal sede , ayb,
a

9poñon Noms, Palpalin : ab

aru

Sle?

+ PR= Ib bm,

2 Mode

11% hu

Teste ts
— Dardo
fr Macken

= Benanthing [pasalo (Pop kor
parsons pen

— Valter

U Mitral ae

fr

*pleemeat—

13. EA 62 qua Female, MYA Pat, Formal y eecupaken , vent
lineal History: so medizing. OPD with clo Difficaly in Pl a walkin?
Maras rk der: Diffially in walking which da Tant omar pd 07
put 4 ety in stan ion. “oni grave re fe RE
in cote a Shake § ey sitter, fica ® ca
PN EN à sde. nm G ANS ten tm. put ne: nd
eran le Suns. ong inde for Skin mamifennhets. poemas po
moe ST de Savdrg. Family mo: ant Sifia je

cond dit TE toile Gama NO PIEELE, via: eg,
anna er ee paies Temp: fée. Gus Cunmnindtinn pir
À | oviankakion Behareun, ana nome. Manon is hat,
© Tegel int ans. de clench teen), Final Acero wove.

=.
AT e, ee ad

Motor Spam enaminahen Ms Normal. Paflenen : Supbeel, , Dep
Yeh loner ons Alone, Semrory Syajem : Ahle to Print Semation Rei
són. Remboy THe :Pomtive (Semon ahnia). œubelon THE Normal. mo na q|
Ans monngeal Imntetien. Gait not dna. oma System Enaminationt
CVS 5, Se med, Ne munmun, LS normado verlo. breath Sound
hand iT: Seft, mo erjanemagoly

Diagnosis VE Y

SUR wR Tete MOLE Tame UE FA prob

ope State sania neto
Summary of Discussion:
si Treatment,
Lidil MIT:
Initial Manage
coe. =e tamb 5
Bleed DE al Tu Nono mr

pd profile Apkieuzplsiten
cu, Ecno Propone:

CT E mer hen,
Cord doppler

14. initial of Facilitator

‘Objective of

lo opp Wish c/o
| [ii ares HOPE : Cous

quality. oor] day 2 ‚| pura Ñ
oul ae ES rnasous or, pague OTT epa
deso pure es 5. Nerte Dee e y ueno
Dmontis : . & court

lupe Te, 80 ges Dak 7 ne Sra padron, Pelpanen,

Be Koma. ale

Pastiro :-
Canna Lranunalion

ar Inposcopular
laced nous 2 AN
no lors namolageah dite
Chron a

Ls :
Das ef hiess) Drome du to

Diagnosis
=. — dog — lat any — Lomplicuian
ry of Discussion:

In : Theak ment :

Rese
Cempur elocdcat- mec, Hb, + pes parar
Sparu culkwe . ap dE
OR Aziz
Heer

Bronnoxopy

15. Coral vascular A
TE et EE
TR DR priests

EA
Le o dao ne
der A où
ee PARU a
tow lintel alter Le woke “ap ay Er UE igre
em Omak SP pene ger
il Eat
hy elipper À y Staak o fal
ty to dote Pe carer ar iy u:
do blur Of Mision, deviation of pe ante Castel =
O ANS > Coraballan : Nord et Te ne
He PAE fe: asigna
val Wo @ bowel be Ladder bat. pre ve, vhl
furction: Consdfous , Ovieutad do dime, Phu, Pr elk

my : decrease. alflPly to feria fine taco, vinalin pr}
Py Zeche localisstion BO sde ola Spion: SS ©
y RS: NVBS - woadded. ae E,

A mi]
j E

pos A Ce A TE
den @ amet ET Ang A re

ory’
oe

5 Led, Wo mumm ,

*anary of Discussion:

Tot on rennen Pe |
qu Be eel ppt el
ey, Pale, certes gaie À

a u gotceush

pe |

OS
Mesa soefguted. oa

16. Initial of Faciitator

Objective of
Sesion Putmananı, Fibrosis
Clinical History: 74yrold male MY: Veenappan Power learn weaver hy ccupating
wording ak palipalagam Came to Gm oPD with cle ok : Cough fov past bm,
Ditticutly in breathing for Past 4m.
HOR: cough 6m. Insidious onset , on + off type. Dry eth te a
Breamiessnen- m - Ínsidicus Onset. progressive .PIPIRC Grade 1» 2 Aggrarak yuh
velctred by rest. No assodated, ovmopnea, PND
Pastulo roseta ayenrback No treatment was Edlan forCTR) Hlo CAD —«oyy]
back surgery CAngie) was done.
Personal lo chronic smoker past4ove- ST - 800, 40 Packal year:
SE > Nopallornocermus, clubbing Gyadı IT, wocganos» , wo pedaledem elim,
adanogalms à RR-23 bramsl min omer vitals A sabe
RS Examinasion: dnapedion : Jrachea’ shifted to leht Cial sign tye) ,shoulder
Aroopire supraclaviculay hallo. palpation : {cheat movement on LF Side
ino scapular dist von fsida vocal famitus- RD. lesida reduced .
Percussion : Re -resonant. (E —Impalrea more, Auswulkaton NVBS-RE. Ht - dimins
oca reinan xD. Mi -ceduced. Added - Cripitations bern Inspıranon « crxpiration

Diagnosis A case of IFsided pulmonany fibrosis born U<c lobe most probably

TReetiology “clung Paradigma) with R failur

Ñ

Summary of Discussion:
‘Investigation :
cbc. Treatment
Spulum Examination AFB, Sympromati ~ Breatwing exenuse
Gene Xpert Mr Expedorants-
her xray Antibiotics.
HRor
A Treatment 4 cause TB CATT)
= Su
ECG, echo. "AU: Reseuron un sete.
cases

17. Time

Initial ofFacilitator

Objective of
Session

inical History: A $5

Ro nome. a on Post ee :
Que 1 MOMMY “ANCES, ee eae
LR os de ras Madre. dur dunes
LP ve li Sere See
See ous nee as
N,
ds E aon = ee

Summary ofDiscussion: ®
Test :
zu de e Axitic|
a sad im
4 Brood € Daron
+ 1PT7 RE base a
r be , + dau
sabe edite a sob arnnchon

+ Poy

18. Initial of Facilitator

‚1 History: Va
Frage! ran ite VA henhons pere
7 Kuft ad Lez gin Ale

rer TE ol phe Ne Mogg) pik

/

in in oa fe. Meanpeal ladies Fat La ae cone

nie) ons goals: faved anne ae! a
della Lama) prue Bry! er

ext! Alan
Mono “Dh ros pots on fr. thd r a
Ami VL, Ghh Amor mu m en

heel y Pliren mae 4
oe ee at, ane, Dach: Neen! AR
sig sop

ER of MIRE à

Pasaba

== | blithe, ge ha Pamir
Val Benge Ürembechug) In
af Mabyrlahlds dtnlas
bo oe BU Pray lorie

Ml

o

der rae Y MART

COR]

—

me

19. Initial of Facilitator

Tit cree pa Homes td
Leg Dee
immary of Discussion:
am y Pue?
= Warn uses — 4
Barden Bleed gas =

bow nn .
Etre Fb
eur Ban

mad

AOS mr pr 5

20. Initial of Facilitator

Objective of
Session

Clinical History: À 564

US progiente &

la do Lot, Taies 0

Aton Ral Ral ExamPration :
molt everted liver à
CDA mé

cage Polla
A oe

Decuy dera % Emda came do OPD
total eliskomsion , de bol ie?
déconne. of am" for poil 4o days

HOP). Wo eldotal détuut for put goday vobkh %

prgrenve &

Local pulfinen ox | urine eine ©

Pat Ho; No gines tomplaicty à Hu put
E : Oma
moduatly bull 2 nounsed .
pruad fie : BAZ) BP: 1m, $.

ea on pve
yeah u

citadad ‚an. with

raja, fon
oe Wo blateral le sat des caca, e wh extends dro

wohn „Klo 4e

Penonel Wo ou
Pers:

Y ictens pu. Pig enn

R 26 fa

wog Liteded _ Pers at wnttion|

aber apace

Tu

= üapoute
Duo
~ Salt ratio
7 Lalo

7 Poe]

Sheet ose mob palpate FRA Hill

ra

alto belie

ante Hp

21. op cai Pod,
st aim ind em soulagedt tome do medias OPD Ut
rn ram fr past man
aby tie Fee à
1 an PN aa. ately 0 puto
4 PAR on > anidan ¿tonto intamitlant, glen

eal
gare
eat
Ent
TT tions. inerte, LAM AL NYHA ral on sc fin
D a de have a Lau dat gt bah yon mic ont be
= yor ge ha Resting Arad wie Th “
Mean Compan de Só Sos 4 fallo aug don ger die fan.
nt Mo ik a au me
acia, Ori tmtad, Patent à Pan digiit Unbbing gua sup aleta do ro
een. Sra: pink imp a pu 0 abt 8
von Pelenble 52 ab aM LUE Cs BD UGE les. puummion : Ral bordar
e e stat hordas 4 dat da api bead
cont ann 5.52 dal At tando ¡Trina pid mr, Loud pa at pulmonary

ob
jui
ri ane do nur band

A
Diagnosis
summary of Discussion:
Investor: Treatment
esc
Mb mem mer = Palmer vasodilators
wer Sléumaget
MEER Bosnien
Rrtercel blood gan wa
= Paolo
ECO
Clank Krag = songs

Echo

22. pate

objective of A
session

Er Histor

Tene u at
pe ee 3 Alan pies
ae He siti a 1 gradual one,

, od with .
gr dm ji Indien onset, Ley

oe >

3
de PO breast chem:
met lo: H/o "toni E pe take des altos

ha
NEE
SERIE
A555
ne

well built + nouxtshe Hs (Br = BP 2/30/10mm 9)
No mn A Uvex ne ein gon er Re,
[messe A case of ascites prtably

ee

Ses

+ LET, Re

| summary of Discussions

. ~ fib met 5 *Thuraputte as
se Ta

WAR Eon * Salk astidioh ad

Gig * Manage. diabetu an
+ OT abdonan 7 Apr onen
* Dlognestic

PERT

see Téuatyunt :

Pe

23. objective of
Session

Bates ı“ ul, ages
PEN ‘dna hy ira

slo elo valle
ag ee aan: Miele Enr mi

A ine EY [APO tante |

|
Fou © . GE chubobing (4) Pedal dana
Mi ei ont En ml a? “|
it, paire” Y cusexowinalor Luguion | |
reali laz RN en tel |
nina Fut WOE pasta al 1S Ks
hop‘ % on Lateral tomiddasiatlartns

Gradual pg 7 wor Pin ®
de Toews a a Ausuttntion In all oral

espuctotios Paie = à en Bs, Sohne me mua
Aue type lbs other system
cous oa qu ©

Gradual pres? + —
ha ax ny ot Tle „ holo.
Diagnosis 7 à % at F 24

being _vatwystes
Treatment

Summary of Discussion:
> 40 salt, fluid rabriion

Tuushgdaon
sue + ELN

Che Me MeH, MeV En
ee A

vm, aud > cortar Bay dmedlar
ECO Haapy
Euro

Ane, up

24. MA 22 dean old

Female ata maras

in namakkal
i î Mor E
ite present AU ux
: Y A mo An une + ps o on
pa ntl OPE pretest lens 4e
- dutnation. (monte

pa In Onset , progrenive in

ar work, veleiving un ret nn at Ks ;
(os ep weight, where, Papi ven pean ie
AE: No palicf, Not icteric, No eyanctis, No lung, No quer red
\qmphadsmepatuug, NO pedal edama vitals: pale bario ,
ir. 130)710 mm ef #19 7 RR- 23 brealis|mun, apte y Su > 117
Eraminahon © Betpivahong System IniptiHen: Tratan apps Lin
ardt , es wall moverreuts appears Po be demand on rt Side
pipabton: Youd rem his devraased in Piglt Tpraanitang, Pure tpulan
ion. pen uation’ Story dll moje head om Band snfraani lly,
palapulas vaon - RUAULLTALION: timinihel breath Anus in

AT EU

A cee ee Dita A Ame Lier Mahan on
Rouet, a MER is eus el

‘Summary of Discussion:

Tavertigatons Treatment
Complete Blond count (68) therapeutic Topping
chest Y pleunod osts
Peusal fluid aapreaton y rule Hora testen
Aros o
we.

CT | urkasound

25. Initial of Facilitator

Objective of
Session

Clinical History: A ¿49

pan
ile ¡plocióh Lsilomadion 3
wont orig,

Desompersatad Omi Liv ico |

serie will worken $ compen De with vompbicts Es
abdominal dueno Jo ¡monta and abdemwal pak kr
¡month = Hoet! Abdeninal dinlergion Jor ment > i
+ Trends. lo pikebral lag soolling pr tweak,
of He passage $ 4
e e e tel
4 Diab: bas for 10 E À
UT pariah pr yea > Fenil! Not ri
IE: va talon cides pret , Bilderel lg dal edict Y
ro 2,0 basto wll pair - tlapecca ernst pun dia ii
pldoen Enamindlien ! Lo! bere dictaron yo th ven
"Tomine ga débute quier
O vale bo

rasant vith dillad vs
“POU aan Pet
Ne (pal bow hood »

Dingnosie e GA ale rompa ob ined soy

Summary of Discussion:
Um tigation |
- Hb devel A
qu ie ioe hal
$IFTARET
À SARL
dubasndfbdenn
à Mate 19
A very

tome:

26. Initial of Facilitator

A cmd Rioncbal Asthma.

Clinical History: A 9 old wma Ma. Chandnamkan nom
am to Gaos Bea orn with de q coma PAT ae

Hopz cough x wu Gandues JA A
lus , on aa da a lovin» comuna, co
ddr, no awlwing Javom , AMouard “orth di à ne ng
june vaarokon. no He q anthers , PHD.

thus blo 4 huendial acthma undue Matin

Hacen am 4 Dm de Pot 4
NT AST MEG amma! te pon

Fant, We : No sulevonk Apunta teeny mea AU

Gk clio out, no Rrerik , BP=lto| Sang, PR= 72874, Mil

Ste maquila : Trade Nowa, Bilal © tal, No Seu 4 onu,
apar! = chur ual Move con A.

Pusuaton: Nimo
Awauliakion: on Expiiben hun hund on para, on

Diagnosis A CO wei buonhiel Alma Au %
A dia posure

‘Summary of Discussion:

TNA qpiton : Tama : ,
Cec YO lo marnan Sto, zur

Random Blood up AS ana Es A

pee a FA A sut conccostutde

um fon spon
Si “a IS VA
Exam robe
Sum xq