40 yr male Pt came to the opd with C/o weakness of the body since 1 month Hopi : pt was apparently asymptomatic 4 yrs back then he developed headache and weakness of body . So , he went to the local doctor and was diagnosed as hypertension. But patient was not taking any medication. So, he again developed weakness of the body since 1 month . Weakness is associated with the the dizziness and sweating . No H/0 nausea , vomiting , burning micturition, constipation . Past H/o : k/C/o HTN since 4yrs but not taking any medication N/k/C/O DM , Asthama , TB , epilepsy, cva , cad ,thyroid. General examination: pt. Was conscious, coherent and cooperative moderately built and well nourished. General examination; No pallor , icterus,cyanosis, clubbing,pedal edema , no lymphadenopathy Vitals Temp- afebrile PR - 90 bpm BP- 170/100mmHg RR- 16CPM Systemic examination CVS- S1,...
This is online E-blog, to discuss our patient de-identified health data shared after taking her 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 the patients clinical problem with current best evidence based input. This E-blog also reflects my patient's centred online learning portfolio. 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 a diagnosis and treatment plan. A 80yr old male patient came to the opd on friday with chief complaints of 1.fever since 8 days. 2.Dry cough since 5 days HOPI The Patient was Apparently asymptomatic 8 days back then he developed fever which is on & off and not associated with chills and rigor. Then patien...
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