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Medicine internal paper

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A 61 year old male patient with cough and sob

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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 patients clinical problems with collective current based inputs. CHIEF COMPLAINTS   Pt came to casuality with chief complaints of • cough since 5 days • SOB since yesterday evening • Foreign body sensation in the throat since today morning HISTORY OF PRESENTING ILLNESS Pt was apparently asymptomatic 3 months back then then he had weakness of bilateral lower limbs which was sudden in onset for which he consulted doctor and diagnosed have having low potassium and given medication and now pt is unable to walk without stand Now pt having cough since 5days which is dry type for 4 days and associated with sputum since today morning which is yellowish white in colour non foul smelling ...

A 70 years old male with facial Puffiness and pedal oedema

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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. This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box. A 70 Year old man who was a toddy tree climber,resident of chirala came to casuality 2 days back with chief complaints of  pedal edema and facial puffiness from the past 15 to 20 days back  HOPI : Patient was apparently alright 3 years back ,one day he developed generalized body weakness which is intermittent in nature,so from then he is not climbing the trees He daily wakes up at 6 am in the morning ,completes his daily routine,brushing teeth etc  and drinks tea , eat breakfast...