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47F with generalised weakness and pain in left upperlimb and shoulder.

1 This is online e log book to discuss our patient's de- identified health data shared after taking his 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 aim to solve those patients clinical problems with collective current best evidence based inputs.  Bunni Sadhguna  Roll no. 25 Pt came with chief complaints of generalised weakness and pain in left upperlimb and shoulder since 25 days. HISTORY OF PRESENT ILLNESS: patient was apparently asymptomatic 25 days back ,then she developed weakness, with dragging pain and tingling sensation in left upperlimb and shoulder,which was sudden in onset, gradually progressive and is associated with breathlessness Aggravating while working.  PAST HISTORY: K/c/o hypertension since 1 month,on medication ( telma 40 mg),thyroid since 10 yrs and asthma since 20 yrs. H/O trauma in right lowerlimb 6 yrs back, followed by pain in
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A 80 year old male presented by dengue 1 week back and decrease in plateletcount .

  This is online e log book to discuss our patient's de- identified health data shared after taking his 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 aim to solve those patients clinical problems with collective current best evidence based inputs.  Bunni Sadhguna  Roll no.  25 A 80 year old male, farmer by occupation, resident  of chittyal came with chief complaints of high fever since 1 week ,breathlessness since 1 day, cough since 5 days. Decreased platelet count. History of present illnesses  Patient was apparently asymptomatic 7 days back and developed fever which is high  grade ,intermittent type,associated with chills and relives by medication.  Patient went to local hospital and was diagnosed dengue positive and got admitted for 5 days . cough since 5 days,wet cough, whitish sputum.  Breathlessness since 1 day,insidious onset gradually progressive
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A 21 year old female presented by severe pain in right iliac fossa since 3 days

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  This is online e log book to discuss our patient's de - identified health data shared after taking  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 aim to solve those patients clinical problems with collective current best evidence based inputs. This E log book reflects my patient-centered  online learning portfolio and your valuable inputs on the comment. Bunni Sadhguna  Roll no. 25 A 21 year old female ,student by occupation, resident of Badrachalam came with chief complaints of pain in right iliac fossa since 3 days. History of present illnesses  Patient was apparently asymptomatic 1 day back then developed pain in the infraumbilical region which was radiated ti right iliac fossa. History of past illness  No previous surgical history  Treatment history  No diabetes  No hypertension  No asthma  No blood transfusions  No surgery  Personal history   S
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33 year old female with severe back pain

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 This is online e log book to discuss our patient's de - identified health data shared after taking  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 aim to solve those patients clinical problems with collective current best evidence based inputs. This E log book reflects my patient-centered  online learning portfolio and your valuable inputs on the comment. Bunni Sadhguna  Roll no. 25 33 year old female with severe back pain A 33 year old female, sales woman by occupation, bought to the opd with chief complaints of Patient came with pain from loin to groin since 3 months - dragging type of pain  -vomitings ,fever + - no burning micturition TB since 3 months on medication HISTORY OF PRESENT ILLNESS  patient was apparently asymptomatic 3 months ago. Patient developed pain from loin to groin,  gradually progressive dragging, type of pain. Vomiting present
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