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40f with palpitations and sob

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This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. I have 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 and treatment plan. A 40 year old female patient ,hotel owner, resident of Narketpalli came with chief complaints of… Increased heartbeat since 6 months Breathlessness since 6 months HISTORY OF PRESENT ILLNESS : Patient was appare
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  13 year old female student from suryapet came to the OPD with chief complaints of Vomitings on Monday night breathlessness since 1 day  History of present illness: Patient was apparently asymptomatic before 2020 Then she Developed multiple swellings in the neck bilaterally,no pain, firm in consistency,  7 to 8 in number. She also had fever insidious, intermittent, no night rise of temperature, relieved with medication  dolo 3 tid She also had cough ,dry cough, non productive, no hemoptysis ,relieved with medication from rmp (cough syrup). She had all these symptoms for 2 to 3 months  They consulted rmp and he gave them medication probably att because her mother has tuberculosis  Swellings size decreased and symptoms were relieved. But the fever was progressively increasing despite regular treatment so they told rmp about it and stopped it. And rmp suggested them to go for checkup in hospital and they went to hospital in Hyderabad and got tested (fnac,cancer tests, tb tests, mantoux,
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 This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. I have 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 and treatment plan. • CHIEF COMPLAINTS  A 50 yr old male from Bengal presented to the causality with complaints of  Sudden fall followed by loss of consciousness (black outs) for about 10-15 minutes. With involuntary movements of
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