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Showing posts from December, 2022

A case of 60year old female

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 Name: J. Akash 31/12/2022 Roll no. 53 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. Following is the view of my case : patient complaining of fever since 4days decreased apetite since 4days difficulty in micturition since 4days patient was apparently asymptomatic 10years back then she had H/O bleeding from nipples following diagnosed to have ?fibroadenoma, surgery was done and removed,post op uneventful 5years back patient had swelling at sacral area progressively increased in size, surgical removal was done,post op uneventful  2yeara back patient developed tingling and numbness of B/L upperlimbs and lowerlimbs and was investigated and used medications and was subsided weakness of upperlimbs and lowerlimbs gradually progressive 1year and 7mo

A case of 50year old male

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 Name: J. Akash 28/12/2022 Roll no. 53 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. Following is the view of my case : Cheif complaints A 50 year old male came with abdominal distension since 10 days decreased apetite since 15days Patient was apparently asymptomatic 10days back then he developed abdominal distension  after which he used herbal medication  abdominal distension associated with pain patient developed yellowish discoloration of eyes , investigated for the same and found to elevated bilirubin levels significant weight loss 15kg,loss of appetite  No h/o fever, headache,nausea , vomitings No h/o loose stools, burning micturition No h/o SOB, orthopnea,PND No h/o chest pain, palpitations PAST HISTORY: Not a known case of DM/HTN/ASTHM

A CASE OF 60 YEAR OLD MALE

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 Name: J. Akash 28/12/2022 Roll no. 53 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. Following is the view of my case : Cheif complaints A 60 year old male was brought to casuality with altered sensorium since yesterday night History of presenting illness:  Patient was apparently asymptomatic 10 years back then he developed similar kind of symptom and was diagnosed with type 2 DM and started on OHA's later after few years (?3y) patient was shifted to Insulin (HAI twice daily) After 4yrs Patient developed giddiness and while working patients had fall ,fracture Rt UL and Rt LL And diagnosed with HTN-( on anti hypertensive medication- Telma50 -ch12.5,METXL 40 ) 2 yrs back patient developed similar episodes of altered sensorium and was having