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A 60 year old female came to GM OPD with Chief Complaints of fever since 3 days and cough associated with sputum since 3 days.Difficulty in swallowing and pain during swallowing since 3 days, hoarseness of voice since 3 days shortness of breath since 3 days

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 A 60 year old female came to GM OPD with Chief Complaints of fever since 3 days and cough associated with sputum since 3 days.Difficulty in swallowing and pain during swallowing since 3 days, hoarseness of voice since 3 days shortness of breath since 3 days HOPI : The patient was apparently asymptomatic 3 days back then she developed high grade fever, cough with sputum which is whitish in coour non foul smelling and  non blood stained. There was a history of difificult in swallowing & pain  during swallowing there  h/o shortness  of breath 3 days back grade -II. decreased appetite since 5-6 mon ths, loss of weight since 1 year.( 20kg wt loss) PAST HISTORY : History of giddiness and fall ,followed by unconsciousness. Known case of hypertension since 1 year but since 5-6 months not on regular medication . Known case of thyroid disorder since 1 year on medication. known case of DM || since ⑨ years and medication since then, tab- glibeclamide in morning, citag...

50 year old male pyrexia

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50 Year old male came to Casuality with Chief complaints of Fever and Chills Since 1 week and Associated with Frontal Headache. No History of Vomiting,Headache,Loose Stools or Abdominal Pain.  Past History Not A K/C/O DM,HTN,Asthma,Epilepsy. No Allergies  No Past Surgical History Personal History  Diet -Mixed Appeteite- Decreased  Bowel And Bladder Movements Regular Addictions Absent Family History No Significant Family History. Provisional Diagnosis : Viral Pyrexia Vitals Bp 100/60 mmHg Pulse 75BPM RR 14cpm GRBS 437 mg/dl Pt Is C/C/C well oriented with Time,Place and Person  Pallor Absent Icterus Absent Clubbing Absent Koilonychia Absent Lymphadenopathy Absent Edema Absent Systemic Examination CVS S1 S2 Heard  RS BAE Present P/A Soft ,Non Tender. Provisional Diagnosis Viral Pyrexia Investigations 30-10-2022 28-10-2022 rapid dengue test -ns1 positive  30/10/22  Urine Sugars - Present Albumin Nil Platelet Count - 27000 Treatment Tab PCM  Inj N...

A 55yr old female complains of fever,decreased appetite since 1 month, Breathlessness since 1 week,vomitings and loose stools since 3 days.

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  CHIEF COMPLAINTS: Pt complains of fever,decreased appetite since 1 month, Breathlessness since 1 week,vomitings and loose stools since 3 days.  HOPI : Patient was apparently asymptomatic 3 months back. Then she had multiple swellings in front of the left ear, for which she developed fever which was lowgrade, intermittent, no evening rise of temp, ass with decreased appetite since 1 month. She then had vomitings which was non bilious and non projectile, containing food particles. She had history of loose stools since 3 days, which is 4-5 episodes per day, watery in consistency.  Past history: K/c/o  Hypertension since 7 years.  7 yrs back she had c/o giddiness for which she went to hospital and was found to have HTN.  Personal history: Diet- mixed Appetite-decreased Bowel and Bladder movements- regular. Addictions- none Allergies- none General examination : Patient is conscious, coherent and cooperative. Well oriented to time, place and person. Moderately ...

57yr old male with bilateral pedal oedema, metabolic acidosis, shortness of breath.

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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 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 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 diagnosis and treatment plan.. 57yr old male came to casualty complaining of shortness of breath since 10days, bilateral pedal edema since 6days, generalized itching since 6days,  He was alright until 6 months ago when he noticed a small wound in h...