Chandana Hari

47 year old male came to OPD with C/O Fatigue and unable to walk - C/O generalised weakness since 1 month - C/O burning sensation and tingling sensation present all over the body , relieves after taking alcohol  - Patient initially came for DAC Admission where they referred to gm opd I/V/O uncontrolled sugars and fatigue and unable to walk  - Patient Consumes alcohol daily in 4 episodes  5AM-6AM :- 180ml whiskey  11AM - 1PM:- 180ml whiskey 2PM- 3PM:- 180ml whiskey 6-7PM:- 180 ml whiskey  - C/O nausea and vomiting ( 2 episodes ) since yesterday morning  - Patient is unable to eat and also cannot remember anything when he is intoxicated  HISTORY OF PRESENTING ILLNESS -  Patient was apparently asymptomatic 3 years back then he was brought to our hospital for DAC ADMISSION , where he was counselled for 3 months and he stopped drinking for 3 years .  - Patient started drinking again from one month and from then on he has generalised weakness since 1 month and also fatigue and is unable to

LEARNER REPORT "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 comments box. 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 A DIAGNOSIS AND TREATMENT PLAN. A 58YR OLD M PT. C/O  B/L NASAL OBSTRUCTION SINCE 3YRS . PT WAS APPARENTLY ASYMPTOMATIC 3YRS BACK THEN HE DEVELOPED NASAL OBSTRUCTION WHICH WAS INCIDIOUS IN ONSET GRADU

 LEARNER REPORT "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 comments box. 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 A DIAGNOSIS AND TREATMENT PLAN. HISTORY OF PRESENTING ILLNESS - A 58 YR OLD F PT. WHO IS A PROFESSOR IN A UNIVERSITY CAME TO CASUALITY WITH CHEIF  COMPLAINS OF PAIN IN THE SMALL JOINTS , LARGE JOINTS

LEARNER REPORT "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 comments box. 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 A DIAGNOSIS AND TREATMENT PLAN. A 48 YR F OLD PT. COMPLAINS OF SWELLING IN THE NECK SINCE 1YR C/O HOARSENESS OF VOICE SINCE 6 MONTHS C/O DIFFICULTY IN SWALLOWING SINCE 6 MONTHS BURNING MICTURITION SIN

LEARNER REPORT "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 comments box. 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 A DIAGNOSIS AND TREATMENT PLAN. A 75 YR OLD FARMER BY OCCUPATION  C/O HEADACHE SINCE ONE MONTH. IT IS NON RADIATING AND NOT ASSOCIATED WITH NAUSEA OR VOMITING . NO AGGRAVATING FACTORS BUT IT IS RELIEV

LEARNER REPORT "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 comments box.  March 8th 2022. 60Y/F FOLLOW UP CASE. 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 A DIAGNOSIS AND TREATMENT PLAN. A 60yr old dailywage labourer came to casuality with complaints of rentention of urine since 4days HISTORY OF PRESENTING ILLNES