2nd internal

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 32 year old man,electrician by occupation in mumbai came to OPD 4 months back with acute onset of seizures.  HOPI: patient was apparently asymptomatic 3 years back and then he developed pain in the loin region for which he went to private hospital in Mumbai and he was diagnosed with bilateral renal caliculi and bilateral stunts were placed. After 4 to 5 months stunts were removed,after 1 week of removing stunt again he started developing pain in the loin region. He was taken to the same hospital and bilateral renal stunts were placed again. 1 year ago he started developing  multiple scaly,itchy, hyperpigmented lesions over the trunk,inner thigh and groin. Last year he returned to the hometown near Nalgonda, and started farming. He stopped using his medications few months after he lost his brother due to cardiac arrest. 3months ago he presented with an acute episode of seizures which lasted for 15 minutes. He was then bought to our hospital. He was found to have high crea...
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1801006195 - LONG CASE

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This is online E log book to discuss our patients de-identified health data shared after  taking his/her/guardians 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 patients 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 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 diagnosis .    A 45 old male patient auto driver by occupation came to the OPD with the  CHIEF COMPLAINTS   of swelling in the both legs since 5days Shortness of breath since 5days HISTORY OF PRESE...
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