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70year old female with loss of appetite, generalised weakness

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A 70 years old female patient residing in Nalgonda, is a homemaker, presented to OPD with  complaints of-  loss of appetite since one week,  - generalised weakness since one week  - fever since 5 days  -burning micturation since 5days  History of present illness- patient was apparently asymptomatic one week back then she gradually developed loss of appetite since one week which was not associated with nausea, vomiting, associated with generalised weakness fever since 5 days which was high grade associated with chills and rigors, no diurnal variation, relived on taking medication, not associated with headache, cold , cough she also started experiencing burning micturation since 5 days associated with low backache , no history of dark coloured urine or blood in urine no h/o cold, cough, chest pain, palpitations, shortness of breath, pedal edema , reduction in urine output, diarrhoea, constipation, vomiting, nausea, pain abdomen Past history: she has been havi...

18 YEAR OLD MALE WITH UNCONTROLLED SUGARS

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5th May 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' 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." 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.  18 year old male residing at Mungodu (nalgonda) came with c/o - weight loss and unable to gain weight since 1year HISTORY OF PRESENT ILLNESS : Patient was apparen...

80 YEAR OLD MALE WITH ALTERED SENSORIUM

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21st April, 2022 ICU ADMISSION 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" 80 year old male farmer by occupation residing in miryalguda came with chief complaints of - altered sensorium since afternoon - aphasia, right upper limb weakness since 5 'o clock in the evening  HISTORY OF PRESENT ILLNESS : Patient was apparently asymptomatic till 12:30pm today. After 12:30pm, patient first complained of weakness followed by inability to walk and then slowly the weakness started worsening and by 5:00pm in the evening, the pa...

55YEAR OLD FEMALE WITH B/L PEDAL EDEMA AND SOB

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25/4/2022 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 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" 55 year old female patient residing in devarakonda came with c/o - bilateral pedal edema extending from below knee to ankles once 2months - sob since 2months She is a k/c/o chronic renal failure since 2months History of present illness : Patient was apparently asymptomatic 2months back then she developed bilateral pedal edema, pitting type SOB on exertion (grade 2/3) Past history : K/c/o diabetes mellitus since 10years (not on medication since 2months due t...