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A 48 yr old female with low back ache

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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-centred online learning portfolio and your valuable comments 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 a diagnosis and treatment plan.  HOPI- Patient was apparently asymptomatic 25 years ago then she developed pain from back of neck to lower back throughout the day aggregated by work and relieved by rest. Apparently the

PLA BOOK PROJECT DRAFT OPD week 1(11 August-12th August)

Week-1 11 August 2023,Friday [8/11, 10:41] +91 79819 60542: 1. OP no -20230817212 49year old man a K/C/O of graves ophthalmopathy since 3 months came to the OPD with chief complains of watering of eyes since 2 days.  There were no aggravating or relieving factors.  Not a k/c/o -HTN,CAD,CVA, asthma, epilepsy Examination: Patient is conscious, coherent, cooperative  Temp: Afebrile Pr: 70 bpm Bp: 110/80 mm Hg Rr: 18 cpm No signs of pallor, icterus, cyanosis,clubbing and lymphadenopathy,  Cvs:-S1 S2 heard, no added sounds Rs:-BAE+, NVBS + P/a: - soft, non tender CNS: - NFD   Daily routine- Patient is a paddy field farmer, he wakes up by 5:30 in the morning, drinks tea, helps his wife with household work (cleaning house) and goes to work by 8:00 am.  He does farming till 12-12:30 pm and has lunch. He rests for 45mins - 1 hour and again gets back to work. He will reach home by 5:00pm and watches television and goes for a walk with his friends till 8:00pm, comes back and has dinner and sleeps

70M WITH SEPTIC SHOCK 2 TO UROSEPSIS WITH B/L RENAL CALCULUS WITH B/L HYDOROURETERONEPHROSIS

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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 evidence based input This E blog also reflects my patient-centered online learning portfolio and your valuable inputs on the 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 CHEIF COMPLAINTS: Patient came with cheif complaints of abdominal pain in Right lower quadrant of abdomen since 1week  HISTORY OF PRESENT ILLNESS:  Patient was apparently asymptomatic 1week back then he developed p

A 45 YRS OLD MALE PATIENT WITH ALTERED SENSORIUM

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 This is an online e-log book to discuss our patient de-identified health data shared after taking his / her / guardian's signed informed consent. Here we discuss our individual patients' problems through a series of inputs from the available global online community of experts with an aim to solve those patients' clinical problems with collective current best evidence-based information. This E blog also reflects my patient-centered online learning portfolio and your valuable input in 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 coming up with diagnosis and treatment plans. is an online e-log book to discuss our patient's de-identified health data shared after taking his / her / guardians' signed informed consent. Here we discuss our indivi

50/M FEVER, COUGH WITH SPUTUM, CONTROLLED SUGARS

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50/M FEVER COUGH WITH SPUTUM,UNCONTROLLED SUGARS 13/06/23 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 box" CHIEF COMPLAINTS The Patient came to hospital with the chief complaints of * Cough since 8 Days * Fever since 8 days * Difficulty in breathing since 8 days.  HISTORY OF PRESENTING ILLNESS  Patient was apparently asymptomatic 8 days ago he then developed fever which is high grade and not associated with chills and rigors, evening rise is seen and is associated with sweating.  There is history of Cough since 7 days associa