67 FEMALE WITH DYSPHAGIA AND NECK SWELLING UNDER EVALUATION
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