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GENERAL MEDICINE:SHORT CASE

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​ This is an online e-log platform to discuss case scenario of a patient with their guardians permission.  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 a diagnosis and treatment plan. Chief complaint: A 53 year old male came to OPD complaints of involuntary shaking of hands since 2 months History of present illness: Patient was apparently asymptomatic 15 months back then gradually developed tremors of left hand which gradually increased in intensity from the past two months tremors decreased on doing physical activity and increased on rest and of intermittent type (on and off) No history of trauma No history of postural instability No history of rigidity and bradykinesia No history of reduced eye blinking, drooling,and soft voice No history of dysphagia No history of sleep disturbances N
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46 year old male with chronic liver disease

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​ This is an online e-log platform to discuss case scenario of a patient with their guardians permission.  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 a diagnosis and treatment plan. A 46 year old male who is resident of Bhongir and by occupation a Barber came to OPD on 11th of January at 4:10 pm. CHIEF COMPLAINTS: Fever on and off episodes:12 days Loss of appetite:12 days Pedal edema:7 days Shortness of breath :7 days HISTORY OF PRESENT ILLNESS: -Patient was apparently asymptomatic 12 days back then he complained of fever which is low grade, intermittent, on and off episodes get relieved on medication.  -Patient complained of B/L pedal edema present below the knees, pitting type, present since 7days which get aggravated on standing for long periods and slightly reduced on taking rest. 
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55 year old male with acute gastritis

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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. Chief complaint: A 55 year old male came to OPD complaints of left side chest pain since 15 days Right chest pain which is radiating to back and also complaints of body pains, headache, sleeplessness.   History of present illness: Patient was apparently asymptomatic 15 days back then he developed left chest pain and right chest pain which is radiating to back. Dry eyes,dry mouth No h/o fever, nausea, vomiting Patient went to nalgonda govt hospital intially with same complaints and got basic investigations done now he came to casualty for further management Past history: No h/o diabetes mellitus, ast
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50 year old female with fever ,thrombocytopenia

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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. CASE PRESENTATION: A 50 year old female came to casualty  with c/o Fever since 7 days  HOPI : Patient was apparently asymptomatic 7 days back then she developed fever which is  of high grade,intermittent, not  associated with chills and increased during night.2 days later She went to a local hospital where she was diagnosed with typhoid.she was on medication. Her platelets count reduced and fever is not subsided.  She also complained of mild head ache since 4 days ,relieved on medication  No h/o nausea, vomiting  No h/o loose stools/constipation  No h/o pain abdomen No h/o Burning micturition  PAST
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