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A 25yrs old man came with painful skin lesions over the soles and fingertips and burning sensation over epi gastric regions

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  Hi, I am N.Rohith (Roll no:79) 3rd sem medical student. this is an online elog book to discuss our patients health data after taking his consent.This also reflects my patient centered online learning portfolio. A 25yr old man came with painful skin lesions over the soles and fingertips since 4 days and burning sensation over epi gastric regions since 1 month Chief complaints The patient came with painful lesions over the soles and fingertips  History of Presenting illness Patient was apparently alright 4days back came with painful skin lesions over the sole and fingertips  -Burning sensation over the epi gastric region associated with cough and headache since 1 month -Abdominal tightness present History of Past illness -No similar complaints in the past PHYSICAL EXAMINATION A. GENERAL Pallor- no Cyanosis - No Icterus - No Clubbing of fingers/toes - No Lymphadenopathy - No   Malnutrition - No  Oedema of feet - No Dehydration- No. Pulse rate-95bpm Bp: Lf ar...

General medicine blog-1

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Hi, I am N.Rohith (Roll no:79) 3rd sem medical student. this is an online elog book to discuss our patients health data after taking his consent.This also reflects my patient centered online learning portfolio. A 66 yr old male patient farmer by occupation with itching all over his body since 5 years.pustules since 3 days. Chief complaints  The patient came to the hospital 8days back with chief complaints of excessive itching with blisters all over his body. History of present illness Patient is suffering from itching from past 5 years and took black magic treatment for painful lesions on both legs,chest and both arms History of past illness In the past due to lack of micturation the patient had undergone an surgery. The patient  is also diagnosed with hypertension 2yrs back and diabetes 5 years backs. The patient is not a known case of asthma and tuberculosis.  Personal history  Diet:mixed Appetite:normal Sleep:normal No known allergies  General examination...