Second internal assessment theory

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CASE OF A 65 YEAR OLD FEMALE WITH HIP PAIN

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This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. 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 diagnosis and treatment plan. January 30, 2022 __ CASE: A 60 year old female ,presented to the OPD with chief complaints of  1) Back Pain on the right side since 13 days 2) Nausea and vomiting since 9 days  HISTORY OF PRESENTING ILLNESS: Pa...
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MACHYAGIRI

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  C/O INVOUNTARY MOVEMENTS OF ALL FOUR LIMBS SINCE TODAY MORNING.   HISTORY OF PRESENTING ILLNESS: PATIENT WAS APPARETNLY ASYMPTOMATIC UNTIL TIDAY MORNING , THEN AT AROUND 10:30 AM , PATIENT HAD INVOLUNTARY MOVEMENTS OF ALL FOUR LIMBS , TONIC , CLONIC   TYPE LASTER FOR 5 MINUTES, 4 EPISODES , EACH LASTED FOR 2-5 MINUTES. NO LOSS OF CSNSCIOUSNESS IN BETWEEN EPISODES . POST ICTAL CONFUSION PRESENT. H/O UPROLLING OF EYES AND DROOLING OF SALIVA   . NO H/O TONGUE BITE. NO H/O INVLUNTARY PASSAGE OF URINE / STOOLS. PAST HISTORY: N/K/C/O DM , CVA, CAD, SEIZURES , ASTHMA K/C/O HTN SINCE 6-7 MONTHS , NOT ON ANY MEDICATION. PERSONAL HISTORY: DIET – MIXED SLEEP – ADEQUATE APPETITE – NORMAL BOWEL AND BLADDER – REGULAR NO KNOWN ALLERGIES NO HABITS OR ADDICTIONS GENERAL PHYSICAL EXAMINATION: PATIENT IS CONSCIOUS, COHERENT , AND COOPERATIVE NO PALLOR , ICTERUS , CYANOSIS, CLUBBING , LYMPHADENOPATHY , EDEMA VITALS: BP – 90/60 MMHG PR – 120 BPM ...
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