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A CASE OF A 61 YEAR OLD MAN WITH BICYTOPENIA UNDER EVALUATION

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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 reflects my patient centered online portfolio and your valuable inputs on the comments is welcome.” A 61 year old male resident of Ramulapeta,yadadri dist who is a daily wage labourer in construction work came to the hospital with complaint of CHIEF COMPLAINTS Dry cough since 10 days  Dragging pain towards the finger tips since 10 days Lower back pain since 10 days Shortness of breath Grade 2 -grade 3 Chest pain near heart since 10 days   HISTORY OF PRESENTING ILLNESS PATIENT WAS APPARENTLY ASYMPTOMATIC 3 YEAR AGO WHEN  He noticed involuntary movements of upper right limb at rest and de...
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A CASE OF DENGUE

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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 reflects my patient centered online portfolio and your valuable inputs on the comments is welcome.” A 68 year old Female patient who is a resident of choutuppal came to the OPD with CHIEF COMPLAINTS Giddiness Generalised weakness since 5 days Fever since 1day Nausea and vomiting Diarrhea NS1 positive HISTORY OF PRESENTING ILLNESS Patient was apparently asymptomatic 1 week back when she developed high grade fever associated with chills and rigor along with nausea , vomiting with diarrhea The vomiting was since 4 days non projectile and contains food particles about 4 times a day The diarrhea also sin...
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A CASE OF MULTIPLE JOINT PAINS UNDER EVALUATION ASSOCIATED WITH POTASSIUM IMBALANCE

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A 31 years old female,who is a house wife ,came from janagon district with complaints of  Cheif complaints : Deformity of bilateral knuckles  Loss of sensation in upper limb and lower limb with neck five days back Came for management  HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 1 year ago,and then she developed pain in right hand follow by ulnar deviation of fingers at second metacarpalophalengeal joint and progressed to 3rd,4th and 5th metacarpalophalengeal joint in a period of 1 month. She developed pain in the joints :  bilateral wrists  bilateral elbow  Bilateral shoulder joints Bilateral ankles  Bilateral knees No pain in toes She also developed swelling of her bilateral soles because of which she was unable to walks She went to a rmp for which she was given some medicine and used during which pain decreased later on when she stopped those medication she again developed pains all over the joint She used on and off when ever she...
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