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50 year old Man with uncontrolled DM 2

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  A 50 year old man who's a resident of nakrekal,labourer by occupation came to the opd to get admitted under de-addiction HOPI  :  Patient was appareantly asymptomatic 4 years back ,then he developed  •   Burning type of pain in the right and left hypochondrium,3 to 4 episodes for which he went to a local hospital and got medications(He's a chronic alcoholic since 30 years), and the symptoms subsided,his last episode was the day after he got admitted here and was given pantop iv and the symptoms subsided.  • H/o weight loss approximately 20 kgs since 15 months •   1 year back he was found to have high Sugars at a government camp at his place used OHA's for 4 months  •   Then he developed complaints of Generalized weakness, polydypsia, poly urea for which he visited a private hospital at Nakrekal found to high sugars (Uncontrolled DM 2 ) He was on insulin(10 U morning,5U in the night) since then  (took Insulin Irregularly) . •  Complaints of Diminution of vision since 8 mon
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49 year female with fever

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August 18, 2022 This is an online E logbook 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 a series of inputs from the available global online community of experts intending to solve those patients' clinical problems with collective current best evidence-based inputs. PRESENTATING COMPLAINTS: Fever since 15 days. Abdominal discomfort since 15 days. Generalized weakness since 15 days. Decreased appetite since 15 days. HOPI: A 49 year female presented to the OPD with complaints of high grade Intermittent fever associated with chills, malaise and decreased appetite. Fever was relieved on taking medication. History of abdominal discomfort as tightness since 15 days not associated with vomiting. History of nausea associated with decreased appetite. No history of headache, retro orbital pain, cold, cough, chest pain, SOB, PND, Orthopnea, burning micturition. she s
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45 years Male old patient with Shortness of Breath and Abdominal pain

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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  evidence based inputs. This E log also represents my patient centered online learning  portfolio and valuable inputs on  Comment box is welcome. A 48 year old Male patient came to the hospital with the chief complaints of  * Cough since 1 month * Shortness of Breath since 1 month * Abdominal pain since 5 days History of present illness : * Patient was apparently asymptomatic 1 month back and then he developed * Cough since 1 month which is          ▪️ Insidious in onset       ▪️  Associated with sputum * Shortness of Breath which is :             ▪️ Insidious in Onset.             ▪️ Aggravated on Exertion and wal
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