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24 yrs old male came to the medicine OPD with cheif complaint of unstable gait and tremors since 10 days   HISTORY OF PRESENT ILLNESSES  Patient was apparently asymptomatic 12 years ago he started drinking alcohol after  his mother passed away in a tragic accident , to alleviate that stress.  He started taking alcohol in the form of ARRACK drinking every alternative day about 1-2 glasses a day Over the next few months his consumption gradually increased to 3 glasses a  day further to 6 glasses a day.This continued upto 5 years after he started drinking .  Around 5 years later he shifted to WHISKY  due to ARRACK being banned by the government.He drink around 2 units of whisky daily before going to work and upon returning in the evening he used to feel tired thus used to drink again. In a few months time his drinking increased upto 12 units a day . patient also started chewing tobacco since the last 9 years , around 1 packet every 2-3 days He also complains of sleep disturbances,decrease
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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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