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35 year old male came with C/o occasional palpitations and SOB since 3 months.

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  This is an online elog documenting de-identified patient health data after taking his signed consent to enforce a greater patient centered learning.  DEIDENTIFICATION -  The privacy of the patient is being entirely conserved. No identifiers shall be revealed through out the piece of work whatsoever. CASE DISCUSSION - 35 year old male came with C/o occasional palpitations and SOB since 3 months. HOPI- Patient was apparently asymptomatic 3 months back, then started developing occasional palpitations, relieved on consuming alcohol, not a/w chest pain. He developed SOB since 3 months, Grade 2, insidious in onset, gradually progressive, no aggravating and relieving factors. C/o decreased appetite since 2 months.  C/o generalised weakness since 10 days. No H/o orthopnea and PND. No C/o fever, decreased urine output, burning micturition, pedal edema.  PAST HISTORY- Not a k/c/o DM, HTN, CVA, CAD, TB, Epilepsy.  PERSONAL HISTORY- Addictions- Patient is a regular drinker since last 15-16 yrs,
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32 yrs old male with abdominal pain and vomitings

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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 CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT This is a case of 32 yr old male resident of nagaram , housekeeper in a hospital in kachiguda came to general medicine OPD with  CC: patient came to OPD with cheif complaints of abdominal pain , vomiting, Sob since 5 days. HOPI : patient was apparently asymptomatic 10 days back then he developed fever without chills and rigor , with no diurnal variation , yellowish urine without burning micturition , b/l pedal edema upto ankle , facial puffiness , for which he has gone to rmp and diagnosed as jaundice, later on 24 th he took a herbal medicine, and on 25 he developed abdominal pain which is sudden in onset and g
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75 yrs old man with sob , bilateral pedal oedema and vomiting. .

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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 PUR INDIVIDUAL PATIENT'S PROBLEMS THROUGH SERIES OF INPUTS FROM AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS WITH AN AIM TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT 75 yrs old male came to the OPD with CC:vomiting since 10 days ,Sob since 20 days Bilateral pedal oedema since 30 days .  HOPI:  Patient was apparently asymptomatic 30 days back then he developed  Bilateral pedal oedema which is insidious in  onset,  gradually progressive  , pitting type , extending from knee to foot , no agrrevating and relieving factors .  Sob which is insidious in onset gradually progressive, grade 4 , agrrevates on walking Vomiting - 4- 5 / day  , non bilious , non blood stained , immediately after taking water and food . PAST HISTORY  18 yrs back he developed tb for which he had take antit
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53 year old male presented to the opd with C/O swelling of back of neck 7 years and right thigh since 5 years.

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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 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 inputs on the 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  53 year old male presented to the opd with C/O swelling of back of neck 7 years and  right thigh since 5 years. HOPI : Patient was apparently asymptomatic 7  yrs back then he developed sw
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