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60M with CKD and HTN

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 This is an a online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. The patient/ attender was informed the purpose of the information being acquired. An informed consent was taken from patient/ attender and there is omission of information that was requested to be omitted. A 30 year old male came to general medicine opd with   Chief complaints:   Involuntary movements of hands and tingling and numbness in upper limbs and abdomen since 1 day   History of presenting illness :  Patient was apparently asymptomatic 20 days back then He developed fever insidious in
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