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A 53 year old female presented with fever , abdominal pain and chest pain

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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.  28/07/2022 Blog by Janhavi Virani  Roll no 58 A 53 year old female who is a resident on Narsampet and is a farmer by occupation presented with chief complaints of  1. Fever since 4 days  2. Pain abdomen since 4 days  3. Chest pain since 4 days  HOPI -  Patient was apparently asymptomatic 4 days back  then she developed fever which was sudden in onset , intermittent  associated with chills , headache , weakness and body pains .  No history of nausea, vomiting or rash  Complains of abdominal pain since 4 days which is gradually progressive diffuse dull aching type not  associated with diarrhoea , dysuria or  vomiting    Not associated with food intake  She says she has gas problem .  Chest pain since 4 days  associated with shortness of breadth  ...

A 46 year old male presented with seizures to the hospital

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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.  20/07/2022 Blog by Janhavi Virani  Roll no 58  46 year old male patient who is Presser by occupation resident of Miryalguda brought to casuality with chief complaints of  — recurrent episodes of seizures since the day before  — pain and swelling in right shoulder  Patient was apparently asymptomatic 12 years back then he had his first episode of seizure , 6 months back he had 2nd episode of seizure, 2 days before presenting to opd he had 2 episodes and the day before he came to opd he had 8 episodes of seizure.  He presented with recurrent seizures abrupt in onset , each episode is associated with bilateral upper and lower limb spasms, up rolling of the eyes , tongue biting and state confusion after episode.  Tongue biting is associated with bleeding.  Each episode lasting for 1 to 5 mins .  Occ...

A 49 year old male with chest pain

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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.  15 Feb 2022 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 Elog book also reflects my patient-centred online learning portfolio and your valuable inputs on the comment . Patient and his/her attenders have been informed and their consent has been taken.  A 49 YEAR OLD MALE PATIENT WHO IS TODDY TREE CLIMBER  BY OCCUPATION CAME ON SATURDAY TO OP WITH  CHEIF COMPLAINTS OF -  Severe chest pain since 5-6 days  Fever and Cough since 5-6 days and  Shortness of breath since one day  HISTORY OF PRESENTING ILLNESS-  Patient was apparently asymptomatic 1 week back then he developed fever which was high grade alon...

A 22 year old female with ataxia

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This is an a 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 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.This is an a 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 serie...

Blog by - Janhavi Virani( Roll no -58 )

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A 70 year old male patient labourer resident of Miryalguda  by occupation came with complains of fever , burning micturition , pain during micturition along with stomach pain and decreased urine output.  HOPI -  H/o Fever since 1 week  H/o burning and Pain during micturition since 5 days  H/o stomach pain since 5 days  H/o decreased urine output since 5 days  Patient also has weakness.  No H/o of Blood in urine                   Increased urination                  Increased frequency of micturition                   Bed wetting                    Slow stream , hesitancy and terminal dribbling  PAST HISTORY  Not  a known case of Hypertension , Diabetes Mellitus , Asthma , Epilepsy, CAD .  Patient had H/o TB 20 years back which lasted fo...