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  Cheif complaints: 29 years old female surviving with 2 children resident of south asia C/o indigestion  C/o pain in the right hypochondrium C/o weight loss in 6 months  C/o giddiness since 6 months C/o heart burn since 6 months Hopi:  She was apparently asymptomatic 6months back , after her normal vaginal delivery she started complaining of indigestion and pain in the right hypochondrium(more during nights)and while eating food , after that her mother observed she was lossing the weight then they went to the public hospital and used medication for 5 months and they advised for usg abdomen .  usg suggestive of abscess and gall stones - advised for admission but they refused to admit  Not associated with nausea but she used to self induce vomiting  Giddiness - non postural not associated with vertigo and    tinnitus or ear fullness  Past history : Not a k/c/o dm , htn , epilepsy , tb . Personal history: Diet : decreased intake of food i/v/o pain abdomen and indigestion  Appetite: norma
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  50 years old female came to the OPD with chief complaints of fever since 4 days (Not associated with the chills and rigors) Present through out the day , subsided as taken medication. C/o Burning micturition since 2 days C/o Abdominal distension since 4 days Hopi : She was apparently asymptomatic    4 days back then she developed fever  No c/o Cold, cough , shortness of breath, bilateral pedal edema , headache , giddiness  Past history :  Not a known case of diabetes mellitus , hypertension , Epilepsy , TB , CAD , CVA Personal history Diet : mixed  appetite : normal  bowel and bladder moments : regular Micturition : normal  Family History : Not significant On examination :  Patient is conscious , coherent , cooperative Temperature : afebrile (98.8.f) BP : 110/90 MMhg  pulse rate : 100beats per minute Respiratory rate : 18 cycles per minute SPO2 : 96% No signs Pallor , ictreus , cyanosis , clubbing , lymphadenopathy, edema of feet System examination :  Cvs : s1,s2 heard , no murmurs R
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55 years male with involuntary movements of both upper and lower limbs

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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 CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT  A 55 years old male patient came to the casualty with history of in voluntary movements of both upper and lower limbs at 4 AM in an episode at 4:30 AM With Post ictal confusion HOPI: He was apparently asymptomatic till today morning (10/2/22) then he developed involuntary movements of both upper and lower limbs at 4 AM in the morning And also post ictal confusion It is also associated with involuntary defecations There is a H/o fever since one day which is associated with generalised weakness It is also associated with tongue bite No H/o drowning of saliva and involuntary micturition No H/o vomiting , loose too
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A brief analysis of a myopathy case for an 18 yrs old male patient by (y.abhinav rollno:181)

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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 a diagnosis and treatment plan.  You can find the entire real patient clinical problem in this link here made by our interns https://hitesh116.blogspot.com/2020/05/12may-2020-elog-medicine-intern.html?m=1 After analysing the history, chief compliants, and investigations of the patient,  my review about the case is as follows. The patient had 1. Weakness in both LL since 20 days , which actually started 2 yrs back in the proximal limbs,  which was insidious in onset, gradually progressed to b/l distal regions. •H/o difficulty in squatting and getting up from that position, difficulty in wearing and holding chappals 2. BILATERAL non pitting type of edema Past history : No similar complaints in the past i.e. 2yrs back. No h/o DM, HTN,
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a case analysis of 1818yr old male with difficulty in walking (by y.abhinav rollnrollno: 181)

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 plan.  You can find the entire real patient clinical problem in this link here.. https://hitesh116.blogspot.com/2020/05/elog-13th-may-2020.html?m=1   After analysing the history, clinical features, and investigations of the patient,  my review about it is as follows: The patient has 1.Difficulty in walking, in standing from sitting position,in climbing stairs,in holding chappals since 1 month, this was progressive in such a way that he could not walk without support.  2. Bilateral weakness in lower limbs since 1 month, which was first noticed by pt during getting down the tractor 1 month ago, and also h/o wasting and thinning of muscles . 3. Pain in calf muscles during walking since 1 month.   4.H/o Feve
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