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General medicine case 1

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  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. A 48 year old male patient presented to the OPD with the chief complaint of fever and swelling in the right lower limb since 4 days. History of present illness : - Patient was apparently asymptomatic 4 days back then he noticed a swelling on the right lower leg due to trauma.  - The swelling is associated with pain, no discharge, no sinuses.  - It is associated with low grade fever and is intermittent.  - Fever is not associated with chills and rigors. History of past illness :  - There is no history of diabetes, hypertension, asthma, tuberculosis, epilepsy - There is no history of surgery...
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General medicine case 6

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  This is an online e-log book to discuss our patient's de-identified health data shared after taking his/her/guardian's 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.  Date of admission : 27 October 2021 A  48 year old male who is farmer by occupation came to the OPD with the chief complaint of pedal edem a   History of present illness :  Normal routine of the patient :  The patient wakes up by 3 AM daily, carries out all the cattle work along with household work, will have his breakfast by 8 AM (rice and curry), goes to the field and does farming, then he used to have his lunch by 1/2 PM (rice & curry or roti) and return home by 6.30/7 in the evening. Then he used to have his dinner (rice again) and sleep by 8 PM. The patient was apparently asymptomati...
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HONC leading to altered sensorium

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  This is an online e-log book to discuss our patient's de-identified health data shared after taking his/her/guardian's 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. Date of admission :   04 February 2022 A  50 year old male who works in a hotel came to the OPD with the chief complaint of loss of consciousness  History of present illness :  The patient was apparently asymptomatic one day before. He had a night meal with 90 ml of whisky which was his daily routine. He later experienced discomfort, started behaving abnormally as in talking irrelevant things and lost consciousness. History of past illness : Patient is diabetic since 15 years (experienced giddiness and got checked) The patient was injured by a motor vehicle silencer  4 months back and the...
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