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60 year old man with dyspnea on exertion since 3 months

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  60 year old man presented with the complaints of Dyspnea on exertion since 3 months Giddiness on and off since 1 month Patient works as a farmer at a local village. He is a father of 2 children. He has consumed alcohol mainly whiskey everyday the last 35 years. Since 1/2 an year, he has been only drinking whiskey on rare occasions. He also has been a cigarette Smoker for the last 35 years with around 20 cigarettes per day. He stopped smoking half year ago. On routine checkup, he was told to be a diabetic 18 years back and also was told to be a hypertensive 2 years back. Since then he has been using medications religiously. 2 years back, he started noticing blood in his stools on and off for which he visited our hospital, KIMS. He was diagnosed with anemia back then and also received 2 blood transfusions. 1 year back, he had a dental appointment for which he consulted medicine for fitness. He was then told to have low hemoglobin along with a heart problem. He was suggested to visit a
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A 42YR OLD MALE WITH FEVER AND COUGH.

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MEDICINE CASE REPORT:       PATIENT WITH FEVER AND COUGH  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 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 comments 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. CHIEF COMPLAINTS: A 42 YEAR OLD MALE PATIENT PRESENTED WITH A HISTORY OF  1. FEVER SINCE 8 DAYS    AND 2. COUGH SINCE  8 DAYS . HIS
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A 50 YEAR OLD PATIENT WITH CERVICAL MYELOPATHY

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This is 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 is the E-log book also reflects my patient centred online learning portfolio and your valuable inputs on comment box is welcome. I have 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 diagnosis and treatment plan. A 50 YEAR OLD MALE WITH CERVICAL MYELOPATHY  Following is the view of my case(history as per date of admission) CASE: 50-year-old male patient presented to hospital with complaints of weakness of all four limbs
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