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

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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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abdominal pain with incontinence of loss of bladder control

Chief complaints: Patient complaints of abdominal pain(epigastric region ) since 1 yr  C/o Incontinence of loss of bladder control since 7 days C/oBurning of urine since 2 days Pain relieved by taking medication but medicine was not continuously used C/o numbness in legs since 7 days C/o weakness and body pains since one month History of presenting illness: H/o trauma to right hand 6 months back  No c/o cough and weight loss  No c/o pedal edema  Past history: She had a surgery done in right hand  C/o heavy breaths and weakness before 6 months  Where she got admitted  Negative history: C/o HTN (low BP) No h/o diabetes No h/o cad No h/o tb  No h/o asthma Systemic examination: No tenderness No palpable mass Hernial orifices : normal Liver : not palpable Spleen: not palpable Personal history: Married Occupation: labour work Appetite: decreased Mixed diet Bowel: regular Micturition: normal ( loss of bladder control with burning sensation) No known allergies No habits / addictions Family his
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