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80 year old male with bilateral knee pain,shortness of breath,indigestion

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An 80 year old male came to OPD with chief complaints of    Bilateral knee joint pains since 2 years Sob since 6 months Indigestion on and off since 5 months  HOPI: Patient was apparently asymptomatic 2 years back then he developed bilateral knee joint pains not associated with any swelling,restriction of flexion movement.pain aggrevates during walking and relieved on taking rest and medication.not associated with fever  Then he developed SOB since 2 months which is of grade-2.It is not associated with cough(before dry cough) It is associated with pedal edema which is pitting type upto ankle.It is increasing while walking and relieved on elevation of limb and during rest. not associated with palpations,chest pain,sweating,fever Not associated with decreased urine output,burning micturition. Then he developed indigestion with burning sensation after food intake.relieved on taking medication. It is associated with abdominal discomfort,bloating(on and off). It is not as...

A 65 year old male with abdominal distention,urinary retention

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Short case Name:N.vishnu rohith Reddy Hall ticket no:1701006126 June 11th 2022 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. A 65yr old male patient who is a resident of nakrekal and farmer by occupation came to the OPD with the chief complaints of   Pedal edema for 2days Abdominal distention for 2 days Shortness of breath for 2 days HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 4 months back,then he developed swelling of legs for which he went to a hospital in nakrekal where he was diagnosed with renal calcul...

A 15 YEAR OLD MALE WITH CHEST PAIN AND BREATHLESSNESS

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Long case  Name:N.vishnu rohith reddy Hall ticket no:1701006126 June 10th 2022 15yr old male with chest pain and breathlessness June 10, 2022 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. A 15yr old male patient came with the complaints of: -Chest pain since 3 months Fever since 2 months -Breathlessness since 1 month History of present illness Patient was apparently asymptomatic 3 months back then he developed chest pain which was insidious in onset, gradually progressive dull aching non radiating increased on lying down, and o...