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27 yr old student with fever and generalized weakness

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27 years old Student with fever and generalized weakness. 27 years old male patient who is preparing for govt. job is also an agriculture worker , came to the opd on 15.9.22  with the complaints of  •fever since 15 days  •generalized weakness since 1 month. HOPI. patient was apparently asymptomatic 1 month back,then he developed generalized weakness and dizziness. He visited some MBBS doctor for the same complaints,was given some medications and was advised to visit a hospital. • h/o fever since 15 days. On and off.  Low grade. Not a/w chills, rigor. No h/o muscle pain. H/o loss of weight of 10 kgs in 6 months  He does agricultural work for 6 hours in a day and then he prepares for govt. job at night. H/o decreased intake of food and inadequate sleep since 1 month. No h/o abdominal problem. No h/o  cold and cough. No h/o   burning micturition. No h/o numbness,tingling sensation • past history. No similar complaints in past. Not a k/c/o TB,asthma,h...

A 84 yr old male with tremors, swelling and increased urination

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MEDICINE CASE WaaDISCUSSION This is a spot where i share all my experiences related to my GENERAL MEDICINE cases and i am thankful to Dr. Rakesh Biswas Sir for guiding me and all PGs and interns and my fellow mates for helping me and supporting me A 84 year old male with tremors, swelling, and increased micturation -  September  13, 2022 MEDICAL CASE This is an E log book to discuss our patient's de-identified health data shared after taking his guardian's signed informed consent. Here we discuss our individual patient 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 comments in comment box are most welcomed  I have been given this case to solve in an attempt to understand the topic of  "Patient clinical data analysis"  to develop...

final practical examination : long case

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Final practical examination : long case A 53 year's old female with complaints of altered sensorium, weakness of right upper limb and lower limb                   June 05, 2022   Amit sharma  HT. No. 1701006007 E-LOGS OF MEDICINE "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 53 year old female came with   altered sensorium ,difficulty in walking ,loss of speech ,weakness of right upper limb and right lower limb. HOPI  : Patient was A known Case of Diabetes Since 11 Years an...

Final Practical Examination Short Case

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Final practical examination: short case-  June 06, 2022 Amit sharma Hall ticket no: 1701006007 A 46 year old male came to casuality with c/c of   burning micturation since 10 days, vomiting since 3 days, giddines since 1 day History of presenting illness: Patient was apparently asymptomatic 10 yrs back, after which he complained of polyuria and diagnosed with DM type 2 and was started on OHAs, 3 years back he started taking insulin.  20 days back he developed vomiting(3/4 episodes, non billious, non foul smelling)  Later he complained of giddiness and brought to hospital. His GRBS was raised  No history of fever/cough/cold  No significant history of UTIs Past history: H/o DM  since 10 years.  H/o cataract surgery 3 years back.  1year  back he had injury to his right leg, which gradually progressed to non healing ulcer extending upto below knee and ended with undergoing below knee amputation due to developement of wet gangrene. ...

46 yr old female with bilateral hip joint pain

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SUNDAY, MARCH 27, 2022 46Y Old Female with pain at the hip joint. This is an online E log book to discuss our patient's de-identified health data shared after taking her 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 reflects my patient-centered online learning portfolio and your inputs on the comment box is welcomed. 46 YEAR old female a resident of Rangareddy district and a homemaker by occupation was transferred to the general medicine OPD with Chief complaints: Lower back pain (at hip joint) since 10 years. History of presenting illness: Patient was apparently asymptomatic 10 years back then she developed bilateral hip joint pain.  The pain was insidious in onset, gradually progressive.  Aggrevating factors are walking, kneeling down....