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54 Y/M with vomitings, SOB, fever

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This is 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 best evidence based inputs .This e-log book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome Patient came to causality with complaints of Fever since 5 days SOB since 5 days Vomiting for 3 days The patient was apparently asymptomatic 5 days back then he developed fever, high grade, not relieved with medication , associated with chills and rigors. SOB since 5 days, grade III , no orthopnea , pnd. Also presents with vomitings since 3 days, non bilious, non blood stained , watery, 2-3 episodes. Ulcer over left foot,since 4 months, associated with edema of foot,  H/o abscess drai
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A 55 Yr old man presented with shortness of breath 20 days and swelling of both lower limbs since 10 days

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  This is 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 best evidence based inputs .This e-log book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome A 55 Yr old male presented with shortness of breath 20 days back and swelling of both lower limbs since 10 days History of presenting illness : Patient was apparently asymptomatic 2 years back then he developed Shortness of breath while lifting weights  then 20days back started to develop SOB even while doing normal work and occasionally it used to present while taking rest or on lying down , walking  and relieved to some extent in sitting position.  Patient also complains of Pedal
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57 yr old male with cervical and lumbar spondylosis and acute ishaemic stroke and with respiratory distress

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  57 yr old male with cervical and lumbar spondylosis and acute ishaemic stroke and with respiratory distress on  June 15, 2023 NOTE: THIS IS AN ONLINE E LOGBOOK 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 A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS INTENDING TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT A 57 yr old male resident of Nalgonda security guard in a bank in Nalgonda came with chief complaints of fever since 1month and altered sensorium 1 month back and shortness of breath since 6days HISTORY OF PRESENT ILLNESS : He is apparently asymptomatic before 5yrs then he developed neck pain and backache which are insidious in onset gradually progressive dragging type associated with muscle spasms and clicking, popping sensation in the neck and shock like pain on the back and not a
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