2 nd internal general medicine

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60 year female with left upper and lower limb involuntary movements 3 days ago

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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. 60YR OLD FEMALE PATIENT, RESIDENT OF RAMANAPET,FARMER BY OCCUPATION, CAME TO THE OPD,WITH THE CHIEF COMPLAINTS OF :  C/O Involuntary movements of Left UL and LL ( first episode ) , associated with frothing ,Uprolling of eyes ,Tongue Bite ,Post Ictal Confusion present for 10 minutes . Tongue Bite :  No seizure activity at presentation but H/O two episodes of seizures occured at their home place and at their local Hospital ( at Ramanapet) within 30 minutes of each  Fever ,which is Su...
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50F FOLLOW UP CASE OF ATRIAL FIBRILLATION

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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. Fever & chills since 3 days, (intermittent) relieved after taking medication c/o palpitations since 2-3 days   Difficulty in breathing since 6 days. Heaviness in chest since 6 days B/L pedal edema on and off(pitting type) since 6 months Burning micturition (+) HOPI  Patient was apparently asymptomatic 6 months back then she had c/o palpitations followed by she had c/o shortness of breath on exertion later progessed to Grade 4 for which she got admitted in our hospital and was ...
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42 YEAR MALE WITH FEVER AND HEADACHE SINCE 20 DAYS

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A 39 year old male ,farmer by occupation comes to casualty with complaint of fever ,headache and pain abdomen ,loss of appetite since 20 days. Chief   complaint Patient complains of fever since 20 days,  headache since 20 days,  pain abdomen since 20 days Loss of appetite since 15 days History of presenting illness Patient was apparently asymptomatic 20 days back then developed fever of insidious onset ,gradually progressive which increases during the night and relieves on taking medication,not associated with any rash.The day before the onset of fever patient was spraying pesticide in his field ,he supposedly wanted to finish two days of work in a single day and said that he was exposed to the fumes of the sprayer for a longer period of time since usual. Pain abdomen is non radiating and not associated with nausea /vomiting  ,not associated with diarrhoea Headache is non radiating and mostly in the front and sides of the head . Loss of appetite since 15 days Patient...
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