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20 years old female with SOB and chest pain

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20 year old female with SOB and chest pain A 20year old female presented to the hospital with the chief complaints of sob since 7pm yesterday and chest pain since 6pm  History of present illnes: Pt was apparently assymptomatic 2yrs back then she noticed hair fall for which she consulted to doctor. Upon performing the tests she was diagnosed with Hyperthyroidism for which she was given medication - Carbimazole (20mg) (OD).   One year later patient developed chest pain of crushing type and non radiating which was insidious in onset and continuously present with mild grade and was using pain killer for the same. - She experienced one episode of SOB which was relieved after some time. - In Jan 2021 she was attacked with COVID and recovered . - In Jan 2022 she was again attacked with COVID and recovered. - In Feb 2022 she had episode of acute chest pain and was diagnosed with Mitral valve prolapse. Pasr history :  - History of hyperthyroidism since 2 years. - No H/O TB,  Asthma, Diabetes, H
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67 FEMALE WITH DYSPHAGIA AND NECK SWELLING UNDER EVALUATION

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  67/F DYSPHAGIA AND NECK SWELLING UNDER EVALUATION  B Krishna B(INTERN) 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 patients clinical problms 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 . CHIEF COMPLAINTS: C/o difficulty in swallowing since 2 years HOPI: Patient was apparently asymptomatic 2 years ago. Then she noticed a swelling of size 2x2cm in front of neck which gradually progressed to present side of 4x4cm. Associated with difficulty in swallowing food(solids intially later to liquids too), dyspnoea and hoarseness of voice. H/o weigh loss present  H/o constipation present H/o burning micturition since
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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 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-centred 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  A 45 years old male,daily wage worker, father of 4 children came with the cheif complaints of generalised weakness since 2 months Irregular to work(due to generalised weaknesses since 16
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