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Showing posts from March, 2022

63 year old female with pain in right upper limb distal phalanges and dysphagia

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 This is an online E-log entry blog to discuss and understand the clinical data analysis of a patient, to develop competency in comprehending clinical problems, and providing evidence- based inputs in order to come up with a diagnosis and effective treatment plan to the best of my ability. A 63 year old female, resident of chittyala,herder by occupation,came with chief complaints of ~Ear pain and ringing sensation in ears on and off since 2 years  ~Generalised weakness since 1year ~Pain of right fingertips since 2 months  ~Dryness of mouth and inability to swallow since 2 months ~H/o fall on 28/3/22 at 8 PM and 29/3/22 at 3 AM  History of presenting illness:  • Patient was apparently asymptomatic 4 years back. Later after the death of her husband , her family members took her to the hospital because she was experiencing weakness. Then she was tested and diagnosed with diabetes mellitus and she is on regular oral medication since then.  •Patient developed ringing sensation and pain in e