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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...

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...

37 yrs female House wife C/c anxiousness to conceive *Menstrual history* *Menarchae at 13 yrs *Regular cycle (very few times get delayed for 2-3 days) *She bleeds for 4-5 days *Amount of bleeding is normal *she uses 2 pads per day *She gets clots *Back pain and lower abdominal pain for 1-2 days *Marital history* *Married since 17 yrs *Active sexual life. *Sexual history* *1st one year coitus during safe period.Then normal active sexual life. *not a/w pain after intercourse *no h/o erectile dysfunction/ejaculatory dysfunction *coitus is timed during ovulation  *Past history* *No DM,HTN,cardiac,renal,CNS disease. *No h/o TB,asthma *She never took OCPs *She is on thyroid medication since 1 year *UTI(?) (1yr and 1-1.5 months back)for that she took antibiotics from local doctor. *She gets white discharge since 3 yrs if she stays in empty stomach in the morning *Allergy history* *Allergic to egg,brinjal *She develops rashes over genital area after eating those foods *Rashes are itchy,pai...

A 75 years old Male farmer presented to the medicine opd with the   Chief  complaints  of  Swelling of both the feet ,ankles and hands and facial puffiness since 10 days. He also complained of back pain since 2 years and swelling in the left inguinal region since 1 year. Patient being a farmer used to go to his field regularly and was living his normal life.he used to eat regularly and was able perform all his daily activities on his own.Then 2 years back he developed back pain but he neglected. Then 1 year back he developed pain and swelling  in the groin and was getting problems in performing his daily activities as he was not able to bend forward and was getting pain while lifting heavy weight.He went to  local doctor and doctor said that he needs to get a surgery done but as an old villager he was scared of surgery and he kept on doing his work in spite of having pain and swelling.Then 10 days ago he took covid vaccine and he developed swelling in both ...

A 40 years old Male presented with the  chief complaints of : fever since 7 days                                        Cough since 5 days                                       Loose stools for 1 day. HOPI ::                  Patient was apparently asymptomatic 7 days back the he developed fever which was sudden in onset, Intermittent in nature, High grade. Associated with chills. It was associated with cough since 5 days. There was presence of sputum which is serous and non foul smelling, non blood stained.  Patient felt chest pain due to cough again and again. Loose stools for 1 day and that happened on the 2nd day of fever. Associated with abdominal pain which was throbbing in nature. It was not associated with sneezing of any other cold ...