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64years old male patient presented with unable to speak

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This is 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 patients 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 comment box is welcome. I’ve 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 CHIEF COMPLIANTS :   -Unable to speak since 4 days .Hiccup since 7days   -loose stools, loss of appetite since 3 days   -fever 4 days back   History of presenting illness: patient is apparently asymp...
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78 years old male came to casuality

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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. 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 inp...
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61years old male patient with Rheumatoid arthritis and Diabetes mellitus

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61years old male patient resident of suryapet farmer by occupation came to casualty Chief complaints :   Pain in bilateral wrist and bilateral knee, bilateral ankle joint since 1year   History of present illness: Patient was apparently asymptomatic 7yrs back then he visited local hospital for excessive urine output he was diagnosed as diabetic at local hospital since then he was on medication and was on regular checkup monthly with dietary practices . He developed pain in b/l wrist ,knee ,ankle joint since 1year it was sudden in onset gradually progressive in nature .Type of pain is pricking type . He visited local hospital he was given medicine for that from he taken medicine regularly form past 1week pain is increasing . He developed decrease vision in left eye from past 3months .He admitted in the local hospital and it is treated by surgery. H/o SOB 2months back which was relived by injection by local doctor last episode was 10days back . Each episode last for 10 min. He qu...
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