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65 yr old male with right LL consolidation

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 A 65 yr old male came to hospital with c/o - breathlessness since 4 days.  - fever since 4 days.  - cough since 3 days. HOPI - Patient was apparently asymptomatic 4 days back, then he developed breathlessness which is insidious in onset, not associated with wheeze, increased on execution, orthopnea present, relieved with rest. HR also c/o fever since 4 days, not associated with chills, evening rise of temperature present He also c/o cough since 3 days, non - expectorant, increases on exposure to cold air.  C/o loss of weight, loss of appetite present, biomass exposure +.  No c/o chest pain, chest tightness, hemoptysis, palpitations, decreased urine output.  Past History : N/k/c/o HTN, DM, epilepsy Past h/o similar c/o SOB  in winter season and usage of inhaler in the season occasionally (SOS). No past h/o TB, covid 19 Personal history : Loss of appetite + Sleep - inadequate. Occupation - farmer Bowel and bladder g revular Alcohol - regular 90ml/day daily Smoking - beedis 2-3/day for 2
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32 yr old male with fever and generalized weakness

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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-centered online learning portfolio and your valuable inputs on the comment box A 32yr old male was brought to casualty with c/o fever since 1 week. Headache since  5 days Generalized weakness and joint pains. HOPI : Patient was apparently asymptomatic 1 week back. Then he developed fever which is moderate to high grade, intermittent ( on and off). He visited a local  RMP and took medication. There was mild relief of symptoms. His outside reports were  PLT - 1.06 lakhs. Not a k/c/o DM, HTN, thyroid, asthma, TB, CAD and, CVA. No h/o any bleeding manifestations (m
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A 47 yr old male ,farmer by occupation came with fever , headache and altered sensorium

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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-centered online learning portfolio and your valuable inputs on the comment box A 47 yr old male ,farmer by occupation came with  c/o fever since 3days  c/o headache since 3days and altered sensorium since 2-3hrs. HOPI: Patient was apparently asymptomatic 3days back later developed high grade fever with chills, intermittent relieved with medication which was associated with headache. Complaints of alter sensorium since 2 to 3 hours not talking and not working this brought to casualty. No urine output since today morning. No history of  burning micturition,  vomi
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16 yr old female with severe anaemia

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CBBLE UDHC Similar case 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 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 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 a diagnosis and treatment plan 16 years old female studying 10th class came with the complaints of fever since 10 days ,  SOB  since one week,   vomiting since 2 days  constipation  ( did not pass
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DRUG INDUCED HEPATITIS SECONDARY TO BORDERLINE LEPROMATOUS LEPROSY DAPSONE SYNDROME

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This is 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" 31 year old male who is a photographer by occupation came to the casuality with complaints of Yellowish discolouration of sclera since 4 days ,Fever since 2 days  which is  insidious on onset , gradually progressive , subsided on medication. C/o Nausea and vomitings since 2 days Non -bilious and non projectile , food particle as content and was taken to local hospital in view of vomitings .  Patient was apparently asymptomatic 17 years back then his mom observed hypopigmented patc
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A 66 yr old male with chest pain and difficulty in breathing

CBBLE UDHC SIMILAR CASES 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 A 66yr old male farmer by occupation who is a chronic smoker and alcoholic came to hospital with chief complaints of breathlessness since 6months Chest pain since 4 months Cough since 10ys HOPI : Patient was apparently asymptomatic 1yr back. Then he had chronic cough and chest pain for which he went to hospital and diagnosed with Tuberculosis. Patient was started on ATT. He continued taking medication for some days after which he developed body pains and join
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45yr old male with B/L groin hydrouretonephrosis

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  45 yr old female with B/L groin hydroureteronephrosis,B/L ureteric calculi ,45 year old female patient came to OPD with c/o reduced urine output since 1 week,easy fatigabiility from 1 week and sob since 3 days and facial puffiness since 1 week. She is a daily wage labourer and she stopped working 3 years back because she would easily get tired.  1 year back she experienced severe right loin pain along with reduced urine output and generalized anasarca.  She underwent right DJ stenting and also 3 sessions of hemodialysis She didn't undergo hemodialysis or wasn't on any treatment for 1 year due to the COVID pandemic.  1 week back, patient started experiencing reduced urine output and would easily get tired. She also told us that she noticed facial puffiness 1 week back. She also started feeling dyspneic after walking a few steps since 5 days, though it wasn't associated with any orthopnea, PND, chest pain, palpitations. Also no complaints of cough, wheeze. General Examinati
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