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A 48 YR OLD MALE

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A 40 YR OLD MALE

Unit 6 admission  A 48 yr old male, farmer by occupation & resident of Nakrekal.came to casualty with CHEIF COMPLAINTS: 1.Fever since 1wk 2.Swelling in the right lower limb since 4 days 3.Pain over the swelling since 2 days 4.Loose stools  since 4 days (4 episodes/day) HISTORY OF PRESENT ILLNESS  : pt was apparently asymptomatic 1 wk back then, he developed  1. FEVER : - low grade, intermittent type, associated  with chills & rigors & relieved by medications. - pt is k/c/o Rt lower limb filariasis since 20 yrs - Due to filariasis, pt used to have fever spikes for every 6 months since 20 yrs. for which he used to take medications & fever relieved - Recently After 3 yrs, he again had a bout of fever spikes since 1 wk.for which he got admitted to a local hospital in nakrekal and took medications. & also found decrease of platelet count 2. SWELLING IN THE RIGHT  LOWER LIMB :  - pt had trauma over rt lower limb 4 ...
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A 28 YR OLD MALE

UNIT 3 ADMISSION  A 28y old male came to the opd with chief complaints of fever since 10 to 25  days and SOB since 5 to 6 days. Patient was apparently asymptomatic 15 days back then developed fever which was incidious in onset and non progressive. It was associated with chills and dry cough. Not associated with cold. C/O SOB since 5 to 6 days that progressed from grade 2 to grade 3. Not associated with pedel edema and loose stools. No h/o bleeding manifestations, bleeding gums, malena, hemoptysis, hemetemesis. PAST HISTORY: No h/o similar complaints of in the past. No h/o DM, HTN, CAD, Asthma, TB. PERSONAL HISTORY : Patient has a mixed diet with decreased appetite and adequate sleep. Patient has constipation. Normal bladder filling and micturition. No addictions. No significant family history. GENERAL EXAMNATION: Patients is c/c/c. No pallor, icterus, cyanosis, clubbing, Vital2s lymphadenopathy, pedel edema. VITALS: temp: 101 F PR: 98 bump nd  RR: 18 cpm. BP: 90/70 mmhg. ...
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42 YEAR OLD WOMEN WITH MULTIPLE HEALTH EVENTS

I've 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 Following is my analysis of this patient's problem: The problems in order of priority I found  1.Swelling 2.Headache( Migraine) 3. Muscle weakness  4. Mouth ulcers 5. Excessive Hair Growth 6. Kidney dysfunction-Oligouria 7.Poor vision 8.Left hand numbness 9. Autism 10. Broken Leg 11. Intolerance to some kind of food SWELLING Swelling is present since 1 year age. It is mostly present on face and abdomen. Swelling aggravated on exposure to smoke, emotional stress, physical activity, certain drugs such as sulpha drugs and foods like fava beans She also presented with severe jaundice at the time of birth. All these features are seen in Oxidative stress. KIDNEY DYSFUNCTION-OLIGOURIA It is also seen in Oxi...
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