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1801006032 SHORT CASE

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28 years old male presented to OPD CHIEF COMPLAINTS : 1) Generalised weakness since  2 weeks 2)Shortness of breath since 2 weeks 3)Easy fatigability since 2 weeks HISTORY OF PRESENTING ILLNESS: Patient was apparently asymptomatic 2 weeks back then he developed generalised weakness insidious in onset, gradually progressive Shortness of breath of  grade 2  which is insidious onset, which is grade 2 (NYHA classification) - slight limitation of activity -ordinary activity results in fatigue) ,no aggrevating and no relieving factors Easy fatigability present No c/o fever, nausea, vomiting, chest pain, pain abdomen, blood in stools, loose stools, sweating PAST HISTORY :  Not a known case of DM/HTN/TB/Epilepsy/Thyroid abnormalities/Asthma PERSONAL HISTORY: Decreased appetite since 5-6 months Takes vegetarian diet Bowels and bladder habits are regular sleep is regular No addictions  FAMILY HISTORY:  No significant family history TREATMENT HISTORY:  No significant history GENERAL EXAMINATION : 

1801006032 LONG CASE

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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 AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS WITH AN AIM TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT 55years old female came to OPD with  chief complaints of  1) Fever since 14 days  2) Abdominal pain since 10 days, 3) shortness of breath since 10 days 4) vomitings since 3 days History of present illness  Patient was apparently asymptomatic 14 days back then she developed Fever, which is insidious in onset, low grade , intermittent, associated with chills and rigor with no aggrevating factors and relieved on medication on first 2 days then she developed Abdominal pain since 10 days,which is insidious in onset, gradually progressive, she localised the pain to her right upper quadrant, it was sharp in nature and