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A 40year old male came to hospital with snake bite

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  Hi I am, AnirudhManne (roll no:11), 3rd 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: Bilateral loin pain since 3days. History Of Presenting Illness: Patient was apparently asymptomatic 7days back then he sustained snake bite (with Russell viper) on left ring finger while working in the fields,visited local hospital and managed symptomatically.  C/O bilateral loin pain,insidious in onset ,intermittent,gradually progressive,pricking type ,non radiating,aggravates on lying down. He has low grade fever,Nausea and vomiting. Not a known case of Burning Micturition,decreased or increased urine output.  No history of cough,cold,body aches,chest pain. Past History: N/k/c/o diabetes HTN,Epilepsy,Tuberculosis,CAD,CVA Personal History: Diet : Mixed  Appetite : Normal Sleep : Normal Bowel and bladder moments...

A 60year old man came to hospital with complaints of tremors in right hand

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  Hi I am, AnirudhManne (roll no:11), 3rd 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. A 60year old male agricultural worker by occupation came to hospital with complaints of tremors in right hand Chief complaints Patient complaints of tremors in right forearm and hand History of presenting illness Patient was apparently asymptomatic 2years back He then developed shivering of right hand and arm which was     Insidious on onset and gradually progressive Initally shivering was localised to fingers only, later radiated to Palm.     numbness present Decreased power in right hand inability to hold things,unable to eat food, unable to work.     pain in right thigh     Shivering of right hand aggravated due to stress, anxiety fear, present for sometime during sleep.     Shivering is pres...