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40 yr female with burning sensation of palms

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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. Case  A 40 yr old female pt with  chief complaints of burning sensation in palms since 2 months  insidious in onset , gradually progressive   increased intensity at  night is seen  Not a...
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56 male with c/o bilateral pedal edema

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Patient with  c/o  bilateral pedal edema  since 1 month , C/o fever and burning micturition since 20 days  HOPI Pt was apparently asymptomatic 1 month ago back and then had complaints of b/l pedal edema pitting type followed by complaints of fewer low grade intermittent associated with burning micturition since 20 days  No c/o loin pain ,hematuria, decreased urine output  H/o NSAID  abuse since 20 days  K/c/o CKD 3 yrs H/o  CVS 6 YRS AGO N/k/c/o DM ,TB, EPILEPSY ,HTN ,CAD  General examination No pallor,icterus,cynosis,clubbing, lymphadenopathy. B/l ,pedal edema pitting type  Vitals BP  110/60 mm hg PR 88 bpm RR 25 cpm  Temp 100.6 °F Systemic examination RS-B/L air entry present         NVBS CVS- S1s2present, no murmurs heard PA- soft and non tender. CNS - no focal neurological deficits  Diagnosis CKD on MHD Septic shock Investigation 22/5/23 blood group O positive Anti ...
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21 yr old female with involuntary movements

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  A 21 years old female P2L2 delivered 10 days back NVD - live male baby of 3.5kgs, housewife by occupation brought with complaints of  Headache since Morning  1 episode of involuntary movements at 12am HOPI: Patient was apparently asymptomatic 1 day back then complained of headache since morning, 1 episode of involuntary movements pattern of tonic clonic seizure at around 12am today H/o frothing from mouth  No H/o tongue bite No h/o involuntary micturition and defecation  Episode lasted for 2 mins Post ictal confusion present. PAST HISTORY: Not a k/c/o DM,htn,tb,asthma,epilepsy  PERSONAL HISTORY: She is Married She consumes  Mixed diet  sleep is adequate  Appetite normal bowel and bladder movements are regular MENSTRUAL HISTORY:  Age at menarche:12 years Cycle: 30/5 days, Normal flow. OBSTETRIC HISTORY: Age at Marriage:19 years 1st pregnancy: conceived after 1 month  of pregnancy,NVD,  2nd pregnancy: conceived after 6 months o...
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