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40F paralysis in left upper and lower limb since 2 years , cough since 4 days

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Hi, I am Pooja Jammula  , 6th  Sem Medical Student.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.  CHIEF COMPLAINT A 40 year old female patient cane to the opd with chief complaints of paralysis in left upper and lower limbs since 2 years and Bilateral blurred vision since 2 ywars and Cough since 4 days HOPI The patient was apparently asymptomatic 2 years ago then she devloped paralysis in left upper and lower limbs which was sudden in onset associated with blurred vision.She then developed cough 4 days ago which was not associated with sputum. No complaints of headache No complaints of dizziness  No sinusitis  No h/o loss of consciousness  No complaints of chest pain, palpitations, SOB No complaints of pain abdomen, vomitings, loose stools, burning micturition PAST HISTORY  patient is k/c/o HTN since 2 years N/k/c/o DM, bronchial asthma, epilepsy, Tb, thyroid disorders FAMILY HISTO
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A 60year old male agricultural worker by occupation resident of gudivada (Nalgonda)came to hospital with complaints of swelling on upper and lower limbs ,face since 1 week

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Hi, I am Pooja Jammula  , 6th  Sem Medical Student.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.  A 60year old male agricultural worker by occupation resident of gudivada (Nalgonda)came to hospital with complaints of swelling on upper and lower limbs ,face since 1 week Chief complaints Patient complaints of swelling in limbs and face since 1 week History of presenting illness Patient was apparently asymptomatic 1 week back  He then developed swelling of body -upper limbs,lower limbs and face Pitting type, insidious onset and gradually progressive Complaint of chest pain,palpitation and decreased urine output SOB Ulcer over sacral region History of past illness Not a known case of  Diabetes  Hypertension Epilepsy Asthma Tuberculosis No history of trauma in the past Personal history Sleep:adequate  Diet: mixed Bowel and bladder movements: normal Addictions:  Alcohol since 25yrs regul
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A 51year old male patient came to opd with chief complaints of shortness of breath since 2 months

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  Hi, I am Pooja Jammula  , 6th  Sem Medical Student.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.  CHIEF COMPLAINTS  51M farmer by occupation , resident of nalgonda ,came to opd with c/o shortness of breath since 2 months HOPI  Patient was apparently asymptomatic 2 months ago then he developed SOB of insidious onset, gradually progressive increasing in intensity since 2 months (Glade II- III) No h/o constipation , nausea , vomiting ,burning micturation  PAST HISTORY : N/k/c/o DM , HTN , CAD,TB, epilepsy , thyroid disorders  FAMILY HISTORY :  not significant  PERSONAL HISTORY :  Decreased apetite  Mixed diet  Decreased bowel movements  Normal micturation  No known allergies  Alcoholic since 3 yrs  GENERAL EXAMINATION : I have examined the patient after taking prior consent and informing the patient in the presence of a attendant. The examination was done in both supine and sitting
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A 26 year old male patient presented with chronic diarrhoea

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Hi, I am Pooja Jammula  , 3rd Sem Medical Student.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-centered online learning portfolio and your valuable inputs on the 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.  CHIEF COMPLAINTS Chronic diarrhoea since 20 days HISTORY OF PRESENTING ILLNESS Patient was apparently asymptomatic 2 months ago,
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