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Medical elog book 60 year old male with bilateral loin pain January 21, 2022 A 56 year old male came to casuality on 13th January with complaints of :  Chief complaints: Pain abdomen bilateral and lower back pain since 20 days Decreased urine output since 15 days HOPI: Patient was apparently asymptomatic 2 years ago then he developed burning micturiturition intermittently. 2 month later he developed pain abdomen and bilateral loin pain. Pain was dragging type, no aggravating or relieving factors.  He then went to a hospital in khammam and was diagnosed with renal stones and was prescribed medication. He didnot use any medication and continued to have loin pain and burning micturiturition.  He developed vomitings and nausea 1year ago immediately after eating and it was foul smelling. He had 3 episodes of blood in urine on the same day 3 months ago and it disappeared from next day 2 months ago he developed urinary incontinence  20 days back he developed abdominal pain  15 days back he de

Clinical findings 70 YEAR OLD MALE WITH COUGH AND ALTERED SENSORIUM  This is an E log book to discuss our patient's de-identified health data shared after taking his guardian's signed informed consent. Here we discuss our individual patient 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 comments in comment box are most welcomed  I have been given this case to solve in an attempt to understand the topic of "Patient clinical data analysis" to develop my competency I reading and comprehending clinical data including history, clinical findings, investigations and come up with a diagnosis and treatment plan.   A 70 year old male building constructor by occupation presented with chief complaints of  Cough and SOB since 20 days Altered s