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A 55 year old male came to general medicine OPD with the chief complaints of Headache, Neck and back pain

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  Hi, I am Katta Abhishek of 3rd semester .This is an online E logbook to discuss our patient’s de-identified health data shared after taking his/her/guardian’s consent. This also reflects our patient centered online learning portfolio. The patient’s consent was taken verbally prior to history taking and examination of his condition. A 55 year old married male laborer came from narketpally to general medicine OPD with the chief complaints of pain in head, neck and back since 1 week HISTORY OF PRESENT ILLNESS:  He was apparently asymptomatic 1 week ago From 1 week he developed dragging type of pain in head, neck and back which was gradually increasing and resistant to NSAIDS given by a local RMP whom he consulted on the day of onset. The pain in head was starting in the temporal region and extending upto the occipital region and waxing and waning and was associated with increased pain in the sleeping side when lying down side ways. It is associated with tingling sensation when exposed t
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Case discussions

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 Case discussions:  A 55 year old male came to opd who is daily wage worker came with  CHEIF COMPLAINTS: Swelling over left 2nd  toe since 20 days Black discoloration over left 2nd toe since 20days HISTORY OF PRESENTING ILLNESS: patient was apparently asymptomatic 20  days back . then he developed swelling over left great and 2 nd toe followed by which ulcreation occurred which was sudden on onset gradually progressive associated with pain over on and off dull aching type . The pain is decreased on  medication . also  blackish discoloration of left and  2nd toe which was sudden on onset and progressive. HISTORY OF PAST ILLNESS: no H/O of fever no H/O of trauma no H/O of discharge from wound  H/O of similar complaints in the part over dorsum of left foot  A known case of  diabetes since 3 years A known case of diabetes since 1 year  No history of T.B , epilepsy  No history of blood transfusions. No history of previous surgeries P ERSONAL HISTORY: Appetite: normal appetite Non vegetaria
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