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40 year old male came to OPD with C/O Giddiness, slurring of speech

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40yr old male came to opd with complaints of Giddiness, slurring of speech , parasthesia and weakness of left upper and lower limb , difficulty in swallowing, Diplopia (Binocular) , hyperacusis left aural fullness since 1week  HOPI  Pt was apparently asymptomatic 1week back , then he had sudden onset of weakness of left lower and upper limb associated with slurring of speech and giddiness at around 2pm 1week back  Pt had history of polio since childhood ,6 months of age  He used to walk on B/L upper limb since childhood  Weakness- sudden onset of left lower and upper limb , unable to roll on bed, unable to walk on upper limb associated with parasthesia of left half of the body  Able to lift the hand above shoulder  Giddiness ( self reeling ) - increasing with sitting , not associated with nausea, vomitings , headache  No bowel and bladder incontinence No loss of consciousness, seizures , palpitations, sweating , sob In village health checkup he was diagnosed to have hypertension and wa
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A 42 YEAR OLD FEMALE WITH C/O PITTING TYPE PEDAL EDEMA,FACIAL PUFFINESS, DECREASED URINE OUTPUT

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 A 42 year old female came to the OPD with C/o    -pitting type of pedal edema since 11months    -facial puffiness since 11 months    -decreased urine output since 11months   - Shortness of breath (SOB) since 3 months   - Abdominal distension since 3 months Patient was apparently asymptomatic 11 months back, then in jan'21 ; she developed • swelling in both feet, ankles,legs  Which was insidious in onset, gradually progressive ( started in feet and ankles and progressed upto thighs (i.e) grade-3) • decreased urine output since 11 months • Shortness of breath since 3 months, insidious in onset gradually progressive  (NYHA grade-3 ) • Abdominal distension since 3 months NO H/O chest pain, palipations, fever , sore throat, joint pains. NO H/O hemoptysis , wheezing NO H/O pain abdomen , jaundice Past history:   •2 years ago ,She complaints of giddiness & went to RMP & was diagnosed with HTN & on tab. Nifedipine 10mg /PO/OD ( Irregular) She was diagnosed with CKD and is o
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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. This 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.    A 41 year old male admitted to pyschiatry ( de-addiction centre)  As he has h/o alcohol consumption since 10 years, Tobacco chewing since 10 years. HOPI: patient consumes intially 90ml of whiskey with his
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A 40 YR OLD MAN WITH SHORTNESS OF BREATH , JAUNDICE & REDUCED URINE OUTPUT

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  A 40 yr old male patient came to the casualty with  CHEIF COMPLAINTS  of shortness of breath worsening since 2 hrs ( GRADE 3-4 ) , palpitations, bilateral pedal edema - pitting type since 10-15 days , Abdominal distension & decreased urine output since 15 days , history of fever 1 week back now it was subsided.  HISTORY OF PRESENT ILLNESS:  ## Normal routine before this catastrophe , of this 40 year old gentle man was waking up at 6 am and eat food ( rice & curry ) — goes to do work related to agriculture (paddy field worker ) and daily wage worksby 8am — lunch ( rice & curry ) at 2/3 pm  — resume work — comes home by 5-6 pm in the evening— takes bath & have dinner ( rice & curry ) — goes with friends outside and have toddy and whiskey — comes home by 9pm .  * He studied 10th class  * He has mixed diet and his married life was 10 yrs , the interaction with the family( wife , two sons : one aged 8 yrs and other 1 1/2 yrs ) was good and he has adequate sleep .  Pati
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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. This 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. 38yrs old male pt came to casualty complaining of fever since 15days, on and off, associated with chills which subsided on taking medication No h/o cough, cold, nausea, vomiting  h/o burning micturition sonce 1
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