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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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23 yr old male with abdominal pain and backache

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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 . Case A 23 yr old male patient who is resident of nakrekal,gold smith by occupation,presented to our hospital with Chief complaints of  backache since 5 days and vomiting on 1/12/22 afternoon History of presenting illness:          Patient presented with backache since 5 days which is insidious in onset and gradually  progressive,continous and had fever for 2days at the onset of the backache which is high grade associated with mild chills and rigor, sweating is noticed  and treated at their local hospital for the same and reduced from 108°F to 102°F ,reduced further {couldn't regist...
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