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A 70yr old patient came with chief complaints of unable to walk since 2 years

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Hi I am,Anirudh manne(Roll no 11), 5th sem medical student. This is an online e-log book to discuss our patient's health data shared after taking his/her consent . This also reflects my patient centered care and online learning portfolio. Chief complaints and duration . A 70 yr old male patient came with the chief complain of unable to walk since two years and difficulty in speech since two years and difficulty in swallowing food and passing urine and stools. History of present illness. Patient was apparently asymptomatic 4 years ago then he developed generalised body weakness and disability to walk and progressive slurring of speech. He developed difficulty in swallowing liquids and taking time to pass urine. The condition was progressive. There is no associated pain and seizures and deviation of mouth. History of past illness. History of trauma four years back where he fell down from the tractor while doing field work and had a leg fracture. Surgery was done and a rod was placed.
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A 20 YRS OLD MALE CAME TO OPD WITH CHIEF COMPLAINTS OF YELLOWISH DISCOLORATION OF EYES

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  Hi I am,Anirudh manne(Roll no 11), 5th sem medical student. This is an online e-log book to discuss our patient's health data shared after taking his/her consent . This also reflects my patient centered care and online learning portfolio. Chief Complaints: A 20 yrs old male came to opd with chief complaints of Yellowish discoloration of eyes History of presenting illness: patient was apparently asymptimatic since one year back then developed Yellowish discoloration of eyes  POSITIVE HISTORY Loss of appetite Irregular bowel and bladder movements Adipsia NEGATIVE HISTORY: N/K/C/O: TB , Asthma, epilepsy, thyroid PERSONAL HISTORY: Mixed diet Irregular bowel and bladder movements Adipsia No addictions Sleep adequate FAMILY HISTORY: N o relevent family history SYSTEMIC EXAMINATION CENTRAL NERVOUS SYSTEM C onscious No neck stiffness  No kernick sign Speech normal Tone                 Rt                  Lt UL                     N                   N LL                      N          
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A 80yr old male patient came to hospital with complaints of cough and difficulty in breathing

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  Hi, this is Anirudh manne, a medical student currently studying in KIMS Narketpally. This page is a compilation of cases taken up during my medical school years, with an intent to correlate theoretical concepts of medicine to practical aspects of it. These E-logs have been created after taking consent from the patient and the patient's advocate. So welcome, and I encourage you to immerse yourselves into these interesting cases. 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. An 80 year old male patient, farmer by occupation, resident of Nalgonda came to the hospital with  CHIEF COMPLAINTS  of cough and difficulty in breathing since 2 years, which a
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