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65 yr old female abdominal pain

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THIS IS AN ONLINE E LOG BOOK TO DISCUSS Oassosciated UR 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 .           GENERAL MEDICINE Pre final practical Chief complaints: A 65  yr old female patient house wife came to opd with chief complaints of abodminal pain for further treatment HOPI Pateint was apparently asymptomatic 45 days back and then developed abdominal Pain which is insidious in onset,  continuous in nature from epigastrium  radiating to left lumbar, pain relieved on leaning forward in sitting Position and on taking medicines, associated with vomitings which is non projectile non bilious, with food particles, 2 times per day for one week and associated with fever which is intermittent and i

70yr old male Dysphagia due to bile reflex gastritis

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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.     This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. I have 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 diagnosis and treatment plan . 70 yr old male came to opd with chief complaints of dysphagia since 10 days HOPI : Patient was apparently asymptomatic 10 days back then he developed difficulty in swallowing which is insidiou