#TeamSFH

[@sohailawan9819]

Thanks dr punekar I like his clear and confident conversations I wish I could work with him

[@emilyb5557]

Top differential - Infective carditis secondary to prosthetic valve, with concern about impact on cardiac function due to SOB on exertion and fatigue. Ddx to consider: Lymphoproliferative disorder HIV, TB or abscess, early menopause (primary ovarian failure) but there wouldn't be an actual fever & periods still present.

[@ahmedidowu2688]

Great hx taking..It would be relevant to ask any lumps or bumps(lymphoma) , medication allergy (because of the long treatment duration) and any recent procedure e.g tooth extraction

[@kyawtint2703]

That’s really helpful. Thank you Dr. Punekar.

[@wesalhusni6826]

D/D Lympoham TB Infective Endocarditis Spleenic Infection

[@harithar2320]

Thankyou sir

[@userunknown5334]

Did this new history taking stations now started in overseas centers

[@dr.shadmbbsdphmasco]

Yes I think so

[@asooorlan2751]

I think adrenal hemorrhage dt warfarin also fit

[@Mr2legit2quitt]

Dr Punekar never smiles

[@beansy99]

Unappreciated comment. This chap is helping others pass exams.

[@RipperDoc97]

That's not his job

[@chandrakantrajhans4636]

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