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43/F exfoliating dermatitis since 3 months

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 29/09/2023 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 . Khushi Tulsyan, Intern Roll no. 49 Location - ICU Bed 2 DOA - 27/09/2023 Pt presented with c/o itchy skin lesions all over the body since 3 months Pt was apparently asymptomatic normal 3 months ago later developed itchy skin lesions all over the body H/o fever since 3 days low grade intermittent relieved with medication  H/o unknown inj taken 3 months back H/o facial puffiness since 2 months H/o Omnacortel 10 mg tab taken for 1 month And b/l pedal edema since 3 days pitti
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52/M c/o generalised weakness since 1 week

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 19/09/2023 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 . Khushi Tulsyan, Intern Roll no. 49 DOA - 15/09/2023 Location - EMD A 52 yr male presented to casualty with c/o generalised weakness of both upper and lower limbs since 1 week C/o unable to speak since 3 days and c/o deviation of mouth to right side since 3 days and c/o fever since 1 day Past History- N/k/c/o DM TB HTN Asthma Epilepsy CAD CVA General Examination- Pt is drowsy E3V2M4 ( GCS - 9/15) Temp - Fever spikes present  Pr - 88 bpm Bp - 120/70 mmhg Rr - 22 cpm Spo 2 -
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60/M c/o fever since 10 days and multiple joint pains since 1 yr

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 12/09/2023 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 . Khushi Tulsyan, Intern Roll no. 49 Pt c/o fever since 10 days which is high grade and is relieved on taking medication and is associated with chills and rigours which is more during nights  C/o multiple joint pains (both hands metacarpophalangeal joints + both knee joints + both elbow joints) since 1 yr Joint restriction present  Morning stiffness present  H/o trauma to left leg in the middle toe 1 month back No c/o cough  C/o weight loss since 6 months  C/o decreased uri
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65/F with giddiness

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12/09/2023 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 . Khushi Tulsyan, Intern Roll no. 49 Unit Incharge -  Location - Female Ward 8 DOA - 12/09/2023 Ward - Female Medical ward 8 Pt came with  -c/o giddiness since 1 yr -c/o headache since 1 yr Pt was apparently asymptomatic 1 yr ago then she developed giddiness which is associated with sweating palpitations  C/o headache which is throbbing in temporal region and not associated with photophobia phonophobia and nausea No h/o giddiness aggravating with neck movements earache and t
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50/M with Left hemiplegia

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 06/09/2023 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 . Khushi Tulsyan, Intern Roll no. 49 DOA - 06/09/2023 CKD Ward Chief Complaint- C/o weakness of left u/l and l/l since 2 days C/o deviation of mouth towards right since 2 days HISTORY OF PRESENTING ILLNESS- Pt was apparently asymptomatic alright 2 days back. Then he had weakness of left UL and LL sudden in onset and deviation of mouth towards right since 2 days Pt is unable to lift his hand above head  No involuntary movements, no involuntary micturation/defecation Able to
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60/M with Peripheral Neuropathy Secondary to DM2

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 02-09-2023 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 . Khushi Tulsyan, Intern Roll no. 49 Pt was admitted in Ward 10 on 01/09/2023 Patient came with complaints of  -Left shoulder pain since 1.5 month.  -Complains of numbness and tingling of bilateral foot since two years. HISTORY OF PRESENTING ILLNESS- Patient was apparently a symptomatic 2 years ago. Then he developed numbness, tingling sensation of bilateral foot with loss of sensation on wearing slippers which is associated with burning sensation of b/l foot. Patient also
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