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Long case :pleural effusion associated with liver abscess

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A 51 year old patient who is a resident of chitayala ,who works is a labourer in a goods company came to the hospital with chief complaints of: Fever since 10 days  Shortness of breath since 10days  Cough since 7 days  HISTORY OF PRESENT ILLNESS : The patient was apparently a symptomatic  10days back then he developed high grade fever which was insidious in onset associated with chills and rigours and was relieved on taking medications . The patient was able to walk a kilometer 10 days back and later slowly was facing shortness of breath even after walking for short distances and which became so severe that even at rest he was feeling shortness of breath .Not associated with wheeze ,no Orthopnea,no paraxsomal nocturnal dyspnea ,no pedal Edema. Cough since 7 days which is productive mucoid in consistency, whitish,scanty in amount ,non foul smelling, non blood stained .more during night time and on supine position.right sided chest pain diffuse , intermittent ,dragging, aggravated on cou
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Short case :fever with joint pains

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  A 45-year-old female tailor by occupation came to the hospital on 2/6/22 with C/O fever on and off, associated with generalized body pains, loss of appetite for 3 months  C/O  facial rash since 4-5 days  HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 10 years back then she developed joint pains, the fleeting type associated with morning stiffness for 10 min , not associated with swelling for 2 months for which she was treated at a private hospital and found to have?RA factor positive  patient was asymptomatic until 8 months back then she developed joint pains? post covid vaccination was treated at a private hospital with medications. 1 month back patient was having an episode of loss of consciousness with cold peripheries with sweating [grbs 7mg/dl] after taking Tab Glimi M2 prescribed by a local practitioner for high sugars?250mg/dl 10 days back patient developed fever and abdominal pain for which she was treated at a private hospital later she developed an erythema
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50 YEAR OLD MALE WITH PYREXIA AND THROMBOCYTOPENIA WITH AKI

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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 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. CHEIF COMPLAINTS:- ​A 50 yr old male came to casuality with complaints of fever since 3days and vomitings since 3 days . HISTORY OF PRESENTING ILLNESS:- Patient was apparently asymptomati
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OPINION OF CASES BY 172

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  NEUROLOGY   Case A:      A 40 year old male presented to the hospital from Yadagirigutta with the chief complaints of irrelevant talking and decreased food intake since 9 days.    https://143vibhahegde.blogspot.com/2021/05/wernickes-encephalopathy.html   Questions:     1) What is the evolution of the symptomatology in this patient in terms of an event timeline and where is the anatomical localization for the problem and what is the primary etiology of the patient's problem?     EVOLUTION OF SYMPTOMATOLOGY: 12 YEARS AGO ·         Addicted to alcohol, drinks about 3-4 quarters per day 2 YEARS AGO ·         Diagnosed with type 2 Diabetes (irregular medication; once in 2 or 3 days) 1 YEAR AGO ·         1-2 episodes of seizures (mostly due to alcohol consumption) 4 MONTHS AGO ·         Developed a seizure (mostly GTCS) ·         Cessation of alcohol for 24 hours assosiated with symptoms of restlessness, sweating, and tremors. 10 DAYS AGO
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