Vasitha 170

  50 YRS OLD MALE WITH VIRAL PYREXIA & THROMBOCYTOPENIA WITH AKI &PLEOMORPHIC ADENOMA OF RT PAROTID GLAND & OBSTRUCTIVE JAUNDICE 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. Cheif complaints: A 50 yr old male came to casua

A 37 yr old male presented with chief complaints of  burning sensation of both hands since 20days lower limb pain since 20days  b/l knee pain since 20 days HOPI Pt was apparently asymptomatic 20 days ago then he developed burning sensation of both hands since 20 days more over nail beds , pain present over nail bed and has difficulty in performing daily activities. More insidious gradually progressive.No relieving factors.      H/o lower limb pain since 20 days which was insidious in onset gradually progressive aggravated on walking relieved on sitting  No    sob, palpitations,orthopnea ,fever, pain abdomen,burning micturition  H/o chronic alcoholism since 20 years and consumes around 350-450ml daily ,last consumption of alcohol -yesterday 7pm 180ml H/o tobacco chewing since 20years  H/o pedal edema 1year back was admitted at local hospital and treated conservatively PAST HISTORY N/k/c/o DM, CVA, TB, EPILEPSY, HTN DAILY ROUTINE  He daily wakes at 5 Am and takes bath and fresh up drinks