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80 year old Male with chief complaints of burning micturition, pain abdomen and SOB

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80yr old male came to the OPD with chief complaints of: Fever since 10days Burning micturition since 1day Decrease urine output since 1day Pain in left loin region since 1day Shortness of breath HOPI: Patient was apparently asymptomatic 10days back then he developed fever which is high grade , intermittent which is not associated with cold/cough/chills and rigors which subsided on taking medication. Later he developed burning micturition, pain abdomen ( left loin region) which is non radiating and dragging and decreased urine output with dark yellow coloured urine since 1day. He had a sudden episode of diminished mentation associated with spontaneous micturition yesterday PAST HISTORY:- K/c/o hypertension since 1 year N/k/c/o DM, TB, Asthma, Thyroid disorder, Epilepsy. H/o kidney infection 4 years back which relieved on treatment (similar  loin pain- may be pyelonephritis - complained hematuria and burning micturition) H/o trauma to Right Lower end of tibia- fracture, malunion FAMILY H
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38 yr old with Pain Abdomen

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A 38yr old male resident of West Bengal , civil engineer by occupation came to the OPD with chief complaints of abdominal pain since 5 years HOPI :- Patient was apparently asymptomatic 5 years back then developed pain abdomen which is sudden in onset , gradual in progression , dragging type radiating to back which aggravates on intake of food, alcohol and relieved on medication.  From last 5 years he has episodes of abdominal pain occurring once in 3 months later from last 6 months pain occurs more frequently/daily? For the past 1 year patient has episodes of vomiting followed by pain in abdomen at least once in 2 months which is non bilious and water as content associated with weakness and giddiness On13th November he had multiple episodes of vomiting after lunch, initially vomiting containing food particles (yellowish)  later watery associated with weakness and giddiness and not relieved on medication. On 23rd November he had similar episode of pain and took medication He also compla
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1801006118 - LONG CASE

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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-centred online learning portfolio and your valuable comments on 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.   A 50 year old male, resident of Miryalagudem ,  ice factory worker by occupation presented with the chief complaints of  Weakness in the right upper and lower limbs since 7 days  slurr
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