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35/ M mason by occupation presented with history of bleeding per rectum -3-4 episodes / day for 2-3 days,associated with hard stools +

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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 patient's clinical problems with collective current best evidence based inputs.  This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box is welcome.    Chief complaints:- 35/ M who works as a  mason presented to us with history of  1) bleeding per rectum -3-4 episodes / day for 2-3 days , associated with hard stools + Intermittently - for 5-6 months and he Was said to have anal fissure ,used sitz bath and ointment . No altered bowel habits at that time . Since December - Patient complaining of - altered bowel habits ,for 10 days he passes  stools with normal  consistency and frequency then followed by hard stools
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60 year old male came with c/o Involuntary movement of left hand fingers since 2 yrs, Burning sensation of hand since 2 yrs, Walking difficulty, giddiness since 2 yrs

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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 patient's clinical problems with collective current best evidence based inputs.  This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box is welcome. Chief complaints:- 60 year old male right handedness, resident of gudalapalli, mason by occupation came with c/o  Involuntary movement of left hand fingers since 2 yrs (5-6 days gap) Swelling and Burning sensation of hand since 2 yrs,  ?Walking difficulty,  giddiness since 2 yrs History   of present illness :- Inability to grip objects with left hand while at work(sudden in onset), static(non progressive weakness) Weakness :- Holding weight on left upper limb(can'
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A 15yr old female came with complaints of Easy fatiguibility since 5-6 months associated with giddiness while working

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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 patient's clinical problems with collective current best evidence based inputs.  This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box is welcome. Chief complaints:-  A 15yr old female student of 9th standard came with chief complaints  of  Easy fatiguibility since 5-6 months associated with  giddiness on doing work,  lasts for 2 to 3 min , relieves with rest. Generalised weakness +, H/o fever 10 days back, low grade , lasted for 2 to 3 days, relieved with medication  no Pedal edema,no sob, No bleeding per rectum, no dark coloured stools, no altered bowel habits, wt loss H/o blood transfusion 6yrs ago due to les
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80 yr old female with k/c/o type2 DM since 15yrs came with H/o fever associated with chills since 20days,h/o dry cough since 15 days,H/o involuntary dribbling of urine while coughing since 15days,H/o generalised weakness since 4days

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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 patient's clinical problems with collective current best evidence based inputs.  This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box is welcome. Chief complaints:- 80 yr old female with k/c/o type2 DM on OHA and HTN since 15yrs came with  C/o  fever associated with chills since 20days, C/o dry cough since 15 days C/o involuntary dribbling of urine while coughing since 15days,  C/o  generalised weakness since 4days,  Pt was found in unresponsive state,  unable to getup, difficulty in speaking, associated with sweating around 8am.Iv fluids were given By Afternoon, pt was able to speak.  Around 6pm, pt was again
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