80 yr old male with altered sensorium

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65 year old male patient with involuntary movements and focal seizures

Final exam long case January 19,2023 65 year old male patient with Involuntary movements and focal seizures  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-centered online learning portfolio and your valuable inputs on the comment" Date of Admission- 19/01/2023 A _65_ year old male patient presented brought to casuality by his attenders with chief complaints of Involuntary movements of left upper limb and lower limb (4:00 pm)                        HISTORY OF PRESENT ILLNESS Patient was apparently asymptomatic till  1:00 pm. Then he had fever episode which is relieved on medication ( dolo 650) Then  he d
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40 yr female pt with fever and pedal oedema

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40 yr female with fever and pedal oedema 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-centered online learning portfolio and your valuable inputs on the comment box. November 06, 2022 40 yr female who is farmer by occupation resident of Masanepelli village,Janagam mandal ,Yadadri district  came with chief complaints of - Fever since 1 week,subsided 3 days ago - Pedal oedema since 1 week -Facial puffiness since 1 week -Burning micturition 1 week ago ,subsided 3 days ago -Head ache,neck pain - 1 day HOPI: Patient was apparently asymptomatic 1 week ago then she developed fever  which was for 3 days which is
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chronic kidney disease

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52 year old female patient came with chief complaints of pedal edema since 1 month and nausea and vomiting since 10 days.  HISTORY OF PAST ILLNESS patient was apparently asymptomatic six months back and then on routine checkup she was found to have kidney problem .  -from one month she developed pedal edema and gradually progressing which is of bilateral pitting type extending upto knees.  -vomiting from 10 days associated with nausea and decreased appetite HISTORY OF PAST ILLNESS  no history of SOB k/c/o type 2 Diabetes mellitus since 10 years. TREATMENT HISTORY have taken treatment for diabetes from 10 years PERSONAL HISTORY • She is unmarried.  • She has decreased appetite.  • Has regular bowels • Has normal micturition.  • No known allergies and addictions FAMILY HISTORY -not significant.  ON EXAMINATION :  -Patient is conscious, coherent, cooperative. - pallor , Icterus,clubbing, cyanosis lymphadenopathy are absent.  -malnutrition, edema present.  Vitals : • BP - 140/80 mmHg • T
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