FINAL PRACTICAL SHORT CASE: Case of a 45 year old male with sob on exertion and tingling and numbness of the limbs
GENERAL MEDICINE - FINAL PRACTICAL EXAM SHORT CASE Hallticket no: 1701006158 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. CASE PRESENTATION: A 45 year old male, who works in a parcel company came to the OPD with CHIEF COMPLAINTS: Shortness of breath on exertion since 2 months Tingling and numbness of the limbs since 2 months HISTORY OF PRESENTING ILLNESS: Patient was apparently asymptomatic 2 months back , then he developed shortness of breath which was insidious in onset, initially grade 2 (NYHA) then progressed to grade 3. Patient complains of tingling and numbness of both the limbs since 2 months. Initially it was confined to lower limbs then later involved upper limbs as well. Patient also complains of passing dark coloured stools 3 da