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A 65 year old male with weakness of left upper and lower limb

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  A 65 year old male who is a farmer by occasional came with complaints of weakness of left lower limb and left upper limb since yesterday and slurring Of speech since yesterday   Tingling sensation of right upper limb and generalised weakness 20 days back HISTORY OF PRESENTING ILLNESS- Patient was apparently alright till 20 days back when he had c/o tingling sensation in right upper limb which gradually progressed f/b he developed generalised weakness for which he was taken to hospital and MRI was done which showed acute lacunar infarct and chronic lacunar infarcts and was treated conservatively. Since yesterday morning he has c/o tingling sensation of left upper limb and lower limb f/b he developed weakness of left side upper and lower limbs a/w slurring of speech. PAST HISTORY- H/o CVA (right hemiparesis) 6 years back   H/o hypertension since 6 years on tab telmisartan 40mg + amlodipine 5mg H/o dm since 5 yrs on Tab.Metformin 250 mg H/o? hypertensive urgency 2 months back ADDICTIONS
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A 42 YEAR OLD PATIENT WITH PALPITATIONS, SOB AND HEADACHE

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  A 42 year old male patient came with the c/o palpitations since     morning , difficulty in breathing since morning,   Headache since morning  , Frothy urine 15-20 days ago (not present now) HISTORY OF PRESENTING ILLNESS- Pt was apparently alright till morning when he had c/o palpitations a/w SOB grade II. He also had complaints of headache which is diffuse a/w nausea not a/w lacrimation/photophobia/phenophobia Since 15 days he has c/o frothy urine which was    intermittent , resolved now No c/o chest pain/ orthopnea/syncopal attacks No c/0 pain abdomen, loose stools, fever, constipation,burning micturition, vomitings No c/o tingling/ paresthesis/ involuntary movements  No c/o neck pain, giddiness  PAST HISTORY- H/o similar complaints in the past apong with chest pain , pain abdomen and malena 1 year back diagnosed with uncontrolled hypertension and AKI on CKD and was given medication which he used for 3 months and then stopped ADDICTIONS: Alcohol:since 20 yrs 2/3 times per week (5/6
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INTERNAL ONLINE GENERAL MEDICINE ASSESSMENT

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Internal online general medicine assessment  Name: suhitha gnaneswar Roll no - 42 Peripherals(1-11-2022 to 11-11-2022) NEPHROLOGY - assisted in central line - suturing under guidance of Dr.sai charan Monitoring the patients during dialysis ICU/AMC duty: assisted in intubation  Performed CPR for a 22 year old female Have taken samples for ABG of several patients. Performed insertion of foley's catheter learned a ryles tube insertion under the guidance of Dr. Keerthy  have taken venous samples of several patients Learned how to maintain GRBS in a hypoglycaemic patient using 25-D overnight  WARD- Updated soap notes Follow up on patients shifted to ward Helped our long distance patients by taking them to referrals monitored patients in the ward  Taking blood samples for the routine investigations Learned to inserted a cannula PSYCHIATRY: (12-11-2022 to 26-11-2022) Cases seen 1)Alcohol induced psychosis a 60 year old female whose attenders informed
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46 YEAR OLD MALE WITH ALTERED SENSORIUM

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G SUHITHA GNANESWAR  HALL TICKET NO - 1701006047  This is an online E-log book to discuss our patient de-identified health data shared after taking his/ her guardians sign 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 clinical problem with collective current best evidence based inputs. This E-log also reflects my patient centered online learning portfolio. Your valuable inputs on 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 competancy in reading and comprehending clinical data including history, clinical finding, investigations and come up with a  diagnosis and treatment plan. SHORT CASE: A 46 year old male came to casuality with chief complaints of  -burning micturition since 10days -vomiting since 2days (3-4 episodes) -giddiness and deviation of
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