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45 YR OLD FEMALE WITH RASH

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7/6/2022 G Meghana  1701006058 Final mbbs practical  Short case :-  This is 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 patients 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 comment box is welcome . CASE:- A 45 year old female , tailor by occupation came to the hospital with  Chief complaints :-    - On and off fever with generalized body pain since 3 months  - loss of appetite since 3 months  - itchy facial rash since 5-6 days  History of Presenting Illness:- - Patient was apparently asymptomatic 10 years back when she devedoped joint pain which was gradual in onset and of fleeting type which was associated with morning s