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A 4O year female presented with CHIEF COMPLAINTS of Deviation of mouth to the left side since 3years- c/o watering from the right eye since 3months- c/o Headache since 3 months

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CHIEF COMPLAINTS:- - c/o Deviation of mouth to the left side since 3           years - c/o watering from the right eye since 3months - c/o Headache since 3 months Patient was apparently asymptomatic 3 years back, then developed ear discharge, insidious in onset, gradually progressive, scanty discharge, for which she didn't visited any hospital. Later on she developed deviation of the mouth to the left side, sudden in onset, non-progressive, aggrevated with talking or during eating, no relieving factors. For which she went to khammam private hospital and o/e it was grade 4 right LMN facial palsy and CT temporal bone done showing Left otomastoiditis,  B/l reduced mastoid pneumatisation, Focal lesions in tympanic segment of left facial canal and adviced to higher centers stating chances of paralysis  And had her ear examination done I/v/o discharge from the ear and diagnosed as left CSOM for which left  mastoidectomy and tympanoplasty done on 08...
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1801006109 Short case

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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 patient's clinical problems with collective current best evidence based inputs". This E log book also reflects my patient-centred online learning portfolio and your valuable comments 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. Cheif complaints: A 14 year old female,resident of nagarjuna sagar p resented with cheif complaints of  Pain in lower limbs (more in right knee) and lower back pain since 6 days  ...
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70 year old male with  1)fever since 15 days 2)generalised weakness and body pains  in bilateral lower limbs since 10  days HOPI Pt was apparently asymptomatic 15 days back then had fever which high grade more during night time associated with chills and rigors it is intermittent not associated with cold , cough, vomitings , loose motions, abdominal pain, burning micturition , no h/o rash, hematuria, bleeding from gums For which he was taken to local rmp and  got treated for the same and diagnosed typhoid fever and reports from outside showing platelets of 85,000 Then he had generalised body weakness and  pains in bilateral lower limbs and lower back ache since 3days. Pt is unable to walk or stand without support since 3 days DAILY ROUTINE He wakes up at morning 6 does his daily routine and takes rice at 8:00-9:00am goes to work ( farmer)  and takes food at 1:00pm returns home at 5:00 pm and takes dinner at 8:00pm qnd goes to sleep PAST HISTORY   not a...
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