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October 16,2023 60 F with SOB since 10 days, numbness and tingling in both upper and lower limbs since 10 months

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-Hi, I am P.Kathyayani, 5th sem medical student. 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 patients clinical problems with collective current best evidence based inputs.This e-log book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome.  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.   CONSENT AND DE-IDENTIFICATION :  The patient and the attenders have been adequately informed about this documentation and privacy of the pati
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October 17,2023 60 with DOV since 4 months

Hi ,I am P.Kathyayani, 5th sem medical student. This is an online elog book to discuss our patient’s health data after taking his consent.This also reflects my patient centered online learning portfolio. A 60 Male resident of suryapet came to OPD with chief Complaints of diminution of vision of both eyes since 3-4 months. History of presentinng illness: Patient was apparently asymptomatic 3 months ago then developed DOV in both eyes which is insidious in onset and gradually progressive. C/o breathlessness grade 1 MMRC+ not associated with wheeze . Aggravated on exertion.  No h/o any itching of eye,redness, watering,trauma. No c/o fever,chest pain,cough,hemoptysis,palpitations, orthopena,PND,pedal edema, decreased urine output. Past history: K/c/o asthma since 10 years on Ipratropium bromide and Levosulphate, Rotacap inhalers  H/o pulmonary TB 20 years ago Not k/c/o HTN,DM,Epilepsy,CAD,CVD, Thyroid   Personal history: Married  Mixed diet Appetite normal Sleep adequate  Bowel and bladder
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