60yrs female pt complaints with nausea since 20 days and diarrhea since 1 yr

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rheumatoid arthritis with ckd ?

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Male patient of 70 yrs admitted in general medicine department  Occupation: labour work  Chief complaints: C/o fever since 10 days (high grade )relieved with medications  Associated with chills and rigors mainly at night  Swelling and pain in the hands,metacarpophalangeal joints ,knee joint )  He couldn't move and walk properly History of present illness: Patient was apparently asymptomatic 10 yrs back then he developed history of pain in joints H/o trauma onto his middle toe 1 month back  No h/o cough   h/o weight loss  Decreased urine output C/o Lower limb swelling since 1 yr  Pedal edema with pitting type ( most prominent) Negative history: No history of asthma,TB,diabetes mellitus , epilepsy,CAD,thyroid disorders History of past illness: H/ o chronic use of nsaids abuse since 1 yr for joint pains  Treatment history: Not significant Personal history: Married Occupation: labour work Appetite : lost  Mixed diet  Micturiti...
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metabolic syndrome with diabetes and hypothyroidism

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Chief complaints: Patient presented with a chief complaints of backpain with burning micturition and less urine output C/o diabetes since 15 years  C/o hypertension C/o hypothyroidism History of presenting illness: Patient was apparently asymptomatic 20days back then she developed back pain (dragging and pricking type of pain ) with less urine output , difficulty in voiding out urine  H/o burning micturition H/o cough since 20 days H/o Fever since 3 days ( on and off onset ) , intermittent fever  Not associated with chills and rigor H /o acidity  H/o headache  H/o blurring of vision ( cataract) H/o pedal edema (pitting type) H/o abdominal distension  Negative history: No h/o palpitations No h/o chest pain No h/o asthma  No h/o cad Past history: Diabetes since 15 years ( insulin 20 units) in the morning and also takes tablets for diabetes C/o hypertension C/o hypothyroidism since 5 yrs Generalized swelling since 10 to 15 yrs General examination: Pallor:...
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painful skin lesions in upper and lower limbs with polyarthritis

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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 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 patient is being entirely con...
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