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Short case fever with joint pains

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  A 45-year-old female tailor by occupation came to the hospital on 2/6/22 with C/O fever on and off, associated with generalized body pains, loss of appetite for 3 months  C/O  facial rash since 4-5 days  HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 10 years back then she developed joint pains, the fleeting type associated with morning stiffness for 10 min , not associated with swelling for 2 months for which she was treated at a private hospital and found to have?RA factor positive  patient was asymptomatic until 8 months back then she developed joint pains? post covid vaccination was treated at a private hospital with medications. 1 month back patient was having an episode of loss of consciousness with cold peripheries with sweating [grbs 7mg/dl] after taking Tab Glimi M2 prescribed by a local practitioner for high sugars?250mg/dl 10 days back patient developed fever and abdominal pain for which she was treated at a private hospital later she developed an erythema
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Long case pleural effusion associated with liver abscess

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A 51 year old patient who is a resident of chitayala ,who works is a labourer in a goods company came to the hospital with chief complaints of: Fever since 10 days  Shortness of breath since 10days  Cough since 7 days  HISTORY OF PRESENT ILLNESS : The patient was apparently a symptomatic  10days back then he developed high grade fever which was insidious in onset associated with chills and rigours and was relieved on taking medications . The patient was able to walk a kilometer 10 days back and later slowly was facing shortness of breath even after walking for short distances and which became so severe that even at rest he was feeling shortness of breath .Not associated with wheeze ,no Orthopnea,no paraxsomal nocturnal dyspnea ,no pedal Edema. Cough since 7 days which is productive mucoid in consistency, whitish,scanty in amount ,non foul smelling, non blood stained .more during night time and on supine position.right sided chest pain diffuse , intermittent ,dragging, aggravated on cou
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48 year old female with multiple system involvement

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  internal medicine post graduation 48 YEAR OLD WOMEN WITH MULTI-SYSTEM INVOLVEMENT. March 21, 2022   CBBLE UDHC SIMILAR CASES 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 . 48 year old female , resident of Hyderabad and home -maker by occupation, presented to casualty on 14/3/22 with complaints of , shortness of breath   since 1 week  - initially grade -2 later progressed to grade 4 . pedal edema  and   chest tightness   generalised weakness  and  fatigue and frequent falls   difficulty opening mouth  and  oral ulcers  since 1
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