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Showing posts from August, 2023

45 F neck pain and fever since 10 days

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  A 45 y/o female, weaver/handloom worker, resident of bongir came with chief complaints of  - neck pain since 10 days and  - fever since 10 days.  HOPI patient was apparently asymptomatic 10 days ago and then she developed  - neck pain in the left side which was insidious in onset, radiating to the upper limb and associated with neck stiffness. aggravated on flexion and extension of the neck and apparently temporarily relieved on using oil.   - no h/o trauma  - she developed low grade fever which was relieved on medication, associated with fatigue, myalgia and headache. not associated with chills and rigors. - no h/o shortness of breath, no h/o cough, no h/o cold, no h/o sore throat, no h/o abdominal pain, no h/o vomitings. - h/o  tingling of bilateral upper limbs. Past illness  • k/c/o hypertension since 4 years and is on medication (losartan 50 mg tablets)  • n/k/c/o tb, asthma, epilepsy, hypo or hyperthyroidism.  • no surgical h...

70M Fever and shortness of breath

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 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. 70 yrs male resident of velanki , farmer by occupation (not working since two years due to SOB)  Chief complaints :  Fever since 5 days  Dyspnea since 1 day Reduced urine output since 5 days  HOPI :...

80 Y/O M WITH SHORTNESS OF BREATH AND EPIGASTRIC PAIN

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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 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. An 80 year old male from orangudam, farmer by occupation, came to the OPD with chief complaints of shortness of breath since 1 year, epigastric pain and discomfort after eating food since 6 months, diminished ...