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56F Abdominal pain 5 years, ileal perforation 1 year, Lump abdomen 1 month

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 A 56 year old female have complaints of pain abdomen since 10 days History of presenting illness-patient was apparently asymptomatic 6 months ago then she was diagnosed to had intestinal obstruction for which she got operated.Now she has complaints of left iliac fossa pain since 3 months aggregated since 10 days pricking type of pain continuous and associated with fever. No ho vomiting,diarrhoea  No h/o blood in urine,Malena ,no h/o headacge,dizziness. No h/o SOB, palpitations,chest pain. K/c/o intestinal TB 3 years ago(used ATTmedication for 1year) K/c/o hypothyroidism 10 years ago on thyronorm 50 MCG  K/c/o CAD 6 months aho N/k/c/o hypertension,diabetes,asthma,epilepsy. Treatment history Sx laparotomy for iliac perforation. Personal history: Diet :Mixed Appetite : normal Sleep: adequate  Bowel and bladder movements: regular No significant family history General Examination: Patient is conscious,coherent and cooperative Moderately built and nourished Pallor, icteru...
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41 yr old male complaints of left leg pain.

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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 is welcome.” This is a case of a 41 year old male with complaints of left leg pain since 4 years. History of presenting illness Patient was apparently asymptomatic 4yrs ago but developed joint pain starting from left pubic area which was radiating towards the whole left leg(from hip joint to ankle joint) upon movement and resting for period of 10-20 mins associated with  fever of temp 100-101°F which subsided upon resting. He also experienced numbness in the left leg for a period o...
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41 YEAR OLD MALE WITH PAIN IN LEFT LEG

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 This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. Thia E blog also reflects my patient centered online learning portfolio and your valuable inputs on the 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 competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with diagnosis and treatment plan. This is a case of a 41 year old male with chief complaint of left leg pain since 4 years. History of presenting illness Patient was apparently asymptomatic 4yrs ago, then,he developed joint pain starting from ...
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