42 year old patient with multiple health events

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 patient's clinical problems with collective current best evidence based inputs.  This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box is welcome. This is a case of a 75 year old male who came to the opd with a chief complaint of loose stools and generalised weakness. History of Presenting Illness: Patient was apparently asymptomatic 10 years back. Then he developed coughing for more than 3 weeks and was diagnosed with tuberculosis. He took treatment for 6 months and then got cured.  The patient was fine after that other than an occasional fever or any other mild illness, he had no serious complaints. Since one year, he said he has been coughing. It is usually dry but sometimes associated with very small quantities of mucus. Then 4 months ago he developed wheezin...

42 year old patient with multiple health events 42 year old patiend with multiple heath events May 15, 2020 Case discussion I've 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 a diagnosis and treatment plan. You can find the entire real patient clinical problem in here.. Following is my analysis of this patient's problem: The problems in order of priority I found  are   1)Frequent falls to the left. Left foot started giving out as well as hand. one fall down stairs sprained and broke ankle (last year) X-ray below. Poor stress response. 2) Swelling/ hair loss (head and eyelashes) Fatigue. Left jaw pain up into face. 3) Breathing difficulties. 4)intolerance from most foods, smoke.   5)Always less urination which increase when fasting.  6)Sleep was bad with 2-4 hours. ...