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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  continuously till Novemb