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40YR OLD FEMALE WITH C/C OF LT SIDED HEMIPLEGIA

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           Jan05,2021 40 YR FEMALE WITH LT SIDED HEMIPLEGIA   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    A 40 yr old female came to opd with C/o giddiness and unable to get up on her own when she woke up today morning unable to stand without support swaing to right side on standing C/o fever since yesterday a/w chills, bodypains No c/o weakness of limbs,seizures,headache,sensory symptoms No c/o burning micturation,cough,SOB,vomiting,loose stools No H/o head trauma K/c/o DM since 10yrs (diag...
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45 YRS OLD MALE CAME TO GM OPD WITH SEIZURES

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. This is a case  of 45 Yr old male resident of chityala,farmer by occupation came to gm opd WITH CHIEF COMP LAINTS :   One  episode of seizures 1 week back and he had bleeding from mouth due bitting tongue during the episode   ##HISTORY OF  PRESENTING ILLNESS# Patient was apparently  asymptomatic 20 yrs ago . he was alcoholic then, he started with toddy for 3yrs and continued with BRANDY  due work stress,and family  issues. he had a episode of seizures after consuming alcohol in year 2020 Again had 3 episodes of seizures in the interval of  2018_ 19, went to local doctor and it subsided, did  stop drinking for a 6 month period. Recently he started drinking and Patient was apparently asymptomatic 1 week back, then he has an episode seizures while he was doing his work on monday .then he went to the local doctor for the treatment he had given a tablet for it and the seizures subsided .he came to the opd on wednesday an...
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A 55yr old female complains of fever,decreased appetite , Breathlessness ,vomitings and loose stools.

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A 55yr old female complains of fever,decreased appetite since 1 month, Breathlessness since 1 week,vomitings and loose stools since 3 days. CHIEF COMPLAINTS: Pt complains of fever,decreased appetite since 1 month, Breathlessness since 1 week,vomitings and loose stools since 3 days.  HOPI : Patient was apparently asymptomatic 3 months back. Then she had multiple swellings in front of the left ear, for which she developed fever which was lowgrade, intermittent, no evening rise of temp, ass with decreased appetite since 1 month. She then had vomitings which was non bilious and non projectile, containing food particles. She had history of loose stools since 3 days, which is 4-5 episodes per day, watery in consistency.  Past history : K/c/o Hypertension since 7 years.  7 yrs back she had c/o giddiness for which she went to hospital and was found to have HTN.  Personal history: Diet- mixed Appetite-decreased Bowel and Bladder movements- ...
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