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A 70 year old male patient presented to the opd with fever, vomitings and loose stools

  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 conserved. No identifiers

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A 65 year old male patient from Halia , nalgonda came to the OPD with chief complaints of bleeding from nose since one week

A 55 year old female patient came to the OPD with c/o itchy skin lesions over back, hands , neck , face, and fever

.Case Scenario - A 55 year old woman from Nalgonda came to OPD on 3rd of June with chief complaints of:-pain abdomen , bilateral upper and lower limb swelling since 10 days and nausea since 1 week.

A female patient of age 45 years came to the medical opd with chief complaints of pain from waist to knee and was unable to swallow food or drink water.