FINAL MBBS PRACTICAL LONG CASE

  CBBLE  UDHC SIMILAR CASE STUDY         CBBLE  UDHC SIMILAR CASE STUDY A 75 year old male was brought to the casualty for further care for known case of CVA diagnosed 1 week back. HISTORY OF PRESENTING ILLNESS The patient was apparently asymptomatic 10 days back when he observed deviation of mouth. associated slurring of speech not associated with drooling of saliva.The patient also complained about throat pain and difficulty in swallowing(solids and liquids equally) 10 days back for which Upper GI endoscopy was done(which showed no abnormality). This lead to the patient's reduced appetite. The patient also complained of generalised weakness since 10 days. This was also associated with headache(diffuse) and approx. 12 episodes of vomitings lasting for 2-3 days 10 days back. The patient also complains of continuous hiccups since 3 days which gets intermittently relieved by itself. The patient is a k/c/o DM 2 and HTN which was diagnosed 10 years back wh...

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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.  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 clinical data including history, clinical findings, investigations and come up with a diagnosis and treatment plan.   CASE :  A 55year old male, toddy climber by occupation came with complaints of pain in abdomen and fever . FOLLOWING IS MY ANALYSIS OF THE PATIENT\"S PROBLEM : The problems in order of priority I found are : 1) Severe pain abdomen since 10 days 2) Fever since 7 days. 3) Decreased appetite since 7 days. ...