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A55year old male with ? Nephrotic syndrome Known case of Hypertension since 10 daysAnemia under evaluation.

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This is 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 patients clinical problems with collective current best evidence based inputs.  CASE DISCUSSION:  •55 year old man, owns a restaurant at choutuppal presented with the complaints of Bilateral lower limb swelling since 1 month Reduced urine out since 20 days Abdominal distension since 7 days Scrotal swelling since 4 days Patient used to previously work as a farmer  and later in 2004 he and his wife started running their own restaurant at Choutuppal. He is a father of 2 children.   22 years back:  He got diagnosed with pulmonary kochas for which he used ATT for 6 months   1 month back :  He first developed left lower limb swelling extending upto his ankle an...

A 60 year old male with Diabetic ketoacidosis with type2 diabetes since 12years

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This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent.  Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. I have been given this case 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 diagnosis and treatment plan. CASE SCENARIO A 60 year old male, daily wage labour  came to casualty with complaints of fever since 3days,nausea and vomiting from yesterday, difficulty in swallowing from yesterday and giddiness from yesterday. ...

A 45 year old female with Altered Sensorium Secondary to Dengue Encephalities.NS 1 Positive dengueWith multiple infarts in Right thalamusB/L CerebellumWith History of Ca Cervix S/P HysterectomyWith ? Acute viral hepatitis secondary to dengue.

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This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent.  Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. I have been given this case 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 diagnosis and treatment plan. CASE SCENARIO : Unit 4 admission -  A 45year old female resident of halia came to the casualty with the complaints of  - Fever since 5days - Vomitings from the afternoon at around 12pm - Altered sensorium from afte...

A 65 year old male with Compressive myelopathy(c5-c6);?SOL in right para vertebral region (D1-D5)and ?D11-L1? Hansen's disease under evaluation with pre renal AKI.

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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 A 65 year old male, resident of Penpamad , came to casualty with c/o sudden onset of Unable to get up from the bed, unable to roll over, lift head above the pillow since 10days associated with pain in movements of the neck, radiating to B/L upper limbs right >left upto hand  Patient was apparently asymptomatic 10days back when he had burning micturition for 2- 3days not associated with fever but had generalised feeling of weakness for which he was treated outside with oral medications...

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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  A 50 year old female came to the OPD with   CHIEF COMPLAINTS-  Pain  Stiffness in several joints since three months HISTORY OF PRESENTING ILLNESS- Patient was apparently asymptomatic 10 years ago then she developed a dull aching type of pain and stiffness in her metacarpophalangeal joints in her right hand associated with limitation of movements at the joint . Then within 6 months of the onset of the disease, it has progressed to involve other joints of the right hand,left hand ...