PREFINAL PAPER 1

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60Y /F WITH RIGHT UPPER AND LOWER LIMB WEAKNESS WITH DEVIATION OF MOUTH TO LEFT

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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 patients' problems through a series of inputs from the available global online community of experts with an aim to solve those patients' clinical problems with collective current best evidence-based information. This E blog also reflects my patient-centered online learning portfolio and your valuable input in 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 coming up with diagnosis and treatment plans. is an online e-log book to discuss our patient's de-identified health data shared after taking his / her / guardians' signed informed consent. Here we discuss our i...
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1801006086 long case

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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 29 year old female who is a known case of SLE , customer service executor by occupation, resident of akkinepalli came to OPD with cheif complaints : swelling of both legs since 3 days swelling around eyes since 3 days . * History of presenting illness: -  Pateint was apparently asymptomatic 6 years ago,  then she developed oral ulcers and rash on face and joint pains , hair loss without scaring for which she went to a hospital and diagnosed with Systemic lupus erythematosis (2017). She was on Hydrochloroquine 200 ,wysolone,azathioprine medication  continuous...
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60M with involuntary movements of B/L UL and LL since 4hours and deviation of angle of mouth

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Chief complaints:  C/o involuntary movements of B/L UL and LL since 4 hours. History of presenting illness:   Patient was apparently asymptomatic 4hours ago then he developed involuntary movements in the B/L UL and LL since 4 hours sudden onset,involuntary,generalized tonic,clonic movements lasting for 2 to 5 minutes. Such episodes for 6 to 8 times initially in the left UL and LL then in the B/L UL and LL followed by loss of consciousness for 5 minutes then patient regained consciousness.  H/O unrolling of eyes,clenching of teeth. N/H/O involuntary micturition and defecation,tongue bite, frothing. No H/O fever,cough,vomiting,loose stools,pain Abdomen, giddiness.  N/H/O weakness of B/L UL and LL . H/O deviation of angle of mouth. Past history:  K/C/O CVA since 1year-left hemiplegia- not on any medication. K/C/O Hypertension since 1 year - not on any medication.  Not known case of DM,asthma,TB,thyroid abnormalities,CAD,Epilepsy. Family history:  No signi...
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